Individual
ETHAN DANE SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 N MONROE ST STE 200, SPOKANE, WA 99201-2148
(509) 741-4876
Mailing address
10906 E 27TH AVE, SPOKANE VALLEY, WA 99206-5806
(509) 954-3287
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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