Individual
R ELAINE BOGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11406 E FAIRVIEW AVE, SPOKANE VALLEY, WA 99206-4687
(509) 640-6804
(509) 352-3141
Mailing address
11406 E FAIRVIEW AVE, SPOKANE VALLEY, WA 99206-4687
(509) 640-6804
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN00075365
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00075365
REGISTERED NURSE
WA
Enumeration date
09/03/2020
Last updated
11/27/2023
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