Organization
BEAR CREEK PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MCMAHAN (OFFICE MGR)
(509) 838-1188
Entity
Organization
Contact information
Practice address
105 W 8TH AVE STE 7035, SPOKANE, WA 99204-2313
(509) 838-1188
Mailing address
105 W 8TH AVE STE 7035, SPOKANE, WA 99204-2313
(509) 838-1188
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30007917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1048446
—
WA
05
—
2026240
—
WA
Enumeration date
11/06/2017
Last updated
11/06/2017
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