Organization
N.A.T.I.V.E. PROJECT
Active
Other names
N.A.T.I.V.E. Health of Spokane
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI LODGE (EXECUTIVE DIRECTOR)
(509) 325-5502
Entity
Organization
Contact information
Practice address
505 E NORTH FOOTHILLS DR, STE 300, SPOKANE, WA 99207-2101
(509) 483-7535
Mailing address
1803 W MAXWELL AVE, SPOKANE, WA 99201-2831
(509) 325-5502
(509) 483-9460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L0131351
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104811033
NPI SANDRA FORSMAN
WA
01
—
1306842596
NPI VINETTA MACPHERSON
WA
01
—
1912996257
NPI CANDY JACKSON
WA
01
—
1982600359
NPI KENDRA LONG
WA
Enumeration date
07/13/2006
Last updated
08/22/2020
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