NPI 1063854107
Tina M Overstreet, SUDP
Practice location
- Address
- 803 S Main St STE 120, Moscow, ID 83843-2695
- Phone
- (509) 444-8200
- Mailing address
- 611 N Iron Bridge Way, Spokane, WA 99202-4932
Registered specialties
Addiction (Substance Use Disorder) Counselor
Primary
Registry record
- NPI
- 1063854107
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Jul 2013
- Record last updated
- 15 Apr 2022
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.