NPI 1851606586

Russell Mikami

Organisation Specialist Spokane Valley, WA

Practice location

Address: 15413 E Valleyway Ave Bldg B-200, Spokane Valley, WA 99037-8554
Phone: (509) 928-3443

Authorised official

Name: Gloria Mikami
Title: Business Manager
Phone: (509) 928-3443

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence PT 00003614 (WA)

Other Specialist providers in Washington →

Registry record

NPI: 1851606586
Entity type: Organization
NPI issued: 18 Aug 2010
Record last updated: 18 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.