Individual
SCOTT T SOVEREIGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2364
(509) 474-4971
Mailing address
101 W 8TH AVE, SPOKANE, WA 99204-2364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60890940
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
09/07/2020
Last updated
03/11/2026
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