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KRISTIN EDGEHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 W 8TH AVE, SHMC 3 NORTH, SPOKANE, WA 99204-2307
(509) 474-7500
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-7500
(509) 227-7070

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OP60233214
WA
2080P0207X
Pediatric Hematology & Oncology Physician
OP60233214
WA
208M00000X
Hospitalist Physician
Primary
OP60233214
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028385
LABOR & INDUSTRIES
WA
01
1922200286
REGENCE BLUESHIELD
ID
05
1922200286
ID
05
2014099
WA
01
S6646
BC/ID
ID
Enumeration date
05/31/2007
Last updated
01/04/2024
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