Organization

Northwest Suboxone Clinic Llc

Psychiatric/Mental Health Nurse Practitioner in Spokane, WA(View on Map)

Legal Business Name

Northwest Suboxone Clinic Llc

NPI Number

1407578263

NPI Type

Organization

Enumeration Date

09/16/2022

Specialties

(Taxonomies)

Code

363LP0808X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

4402 W ELDERBERRY AVE
59 E QUEEN AVE STE 111C

City

Spokane
Spokane

State

WA
WA

Postal Code

99208-9438
99207-1430

Country

US
US

Telephone Number

N/A
(509) 596-2199

Authorized Official

Name

Michael Colver

Title or Position

DIRECTOR

Telephone Number

(801) 717-6238

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/30/2023

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