Individual
MRS. CALISTA D COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9027 N INDIAN TRAIL RD, SPOKANE, WA 99208-9116
(888) 227-3312
(509) 626-9840
Mailing address
PO BOX 2928, PORTLAND, OR 97208-2928
(425) 207-5155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720240401
—
ID
Enumeration date
06/25/2008
Last updated
08/26/2024
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