Individual
JAMIL ABOU-HARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 W 8TH AVE, SUITE 150E, SPOKANE, WA 99204-2302
(509) 474-5437
(509) 474-5438
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD00046191
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210345
L&I NUMBER
WA
01
—
807484200
IDAHO MEDICAID
WA
01
—
8459646
WA MEDICAID
WA
01
—
GAB32999
MEDICARE GROUP
WA
Enumeration date
07/16/2006
Last updated
04/09/2021
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