Individual
THEO RAY ORCHARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS, PA-C
Contact information
Practice address
15812 E INDIANA AVE, SPOKANE VALLEY, WA 99216-1875
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60901787
WA
363A00000X
Physician Assistant
—
NC
Other
Enumeration date
09/30/2013
Last updated
06/19/2023
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