Individual
CLINTON S HEDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16528 DESMET CT, SPOKANE VALLEY, WA 99216-3522
(509) 944-8920
(509) 944-9644
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004419
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013428
—
WA
05
—
8329757
—
WA
Enumeration date
08/17/2005
Last updated
05/04/2026
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