Individual
JASON LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 W RIVERSIDE AVE STE 1600, SPOKANE, WA 99201-0406
(509) 481-9629
Mailing address
421 W RIVERSIDE AVE STE 1600, SPOKANE, WA 99201-0406
(509) 481-9629
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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