Organization
MULTICARE HEALTH SYSTEM
Active
Other names
MULTICARE ROCKWOOD VALLEY PODIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA J CARTER (PROVIDER ENROLLMENT SPECIALIST)
(253) 459-8231
Entity
Organization
Contact information
Practice address
1414 N HOUK RD STE 104, SPOKANE VALLEY, WA 99216-1097
(509) 755-5560
(509) 755-5561
Mailing address
PO BOX 5299, MS: 737-3-PCON, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
03/22/2019
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