Individual
RHAEJON M SMILDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12410 E SINTO AVE, SUITE 201, SPOKANE VALLEY, WA 99216-2280
(509) 344-2663
(509) 624-9179
Mailing address
601 W 5TH AVE STE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004530
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202788
DEPT OF LABOR & INDUSTRIE
WA
01
—
2837SM
ASURIS NW HEALTH
WA
05
—
8375271
—
WA
01
—
8940174
CRIME VICTIMS
WA
01
—
K6427
BLUE CROSS OF IDAHO
ID
01
—
P00272445
RR MEDICARE
WA
Enumeration date
03/15/2006
Last updated
12/12/2024
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