Organization
NORTH PINES FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA J KOEP (PRESIDENT)
(509) 926-1531
Entity
Organization
Contact information
Practice address
12704 E NORA AVE STE B, SPOKANE VALLEY, WA 99216-1140
(509) 926-1531
(509) 926-0956
Mailing address
12704 E NORA AVE STE B, SPOKANE VALLEY, WA 99216-1140
(509) 926-0956
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
AP30005435
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9641226
—
WA
Enumeration date
10/18/2006
Last updated
06/10/2009
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