| Opportunity Medical | |
|
16201 E. Indiana Ave Ste 2300 Spokane WA 99216-2839 | |
| (509) 924-8721 | |
| (509) 927-9593 |
| Full Name | Opportunity Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 16201 E. Indiana Ave, Spokane, Washington |
| Authorized Official Name and Position | Ann L Gott (ACCOUNT MANAGER) |
| Authorized Official Contact | 5099261770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opportunity Medical 16201 E Indiana Ave Ste. 2300 Spokane WA 99216-2839 Ph: (509) 924-8721 | Opportunity Medical 16201 E. Indiana Ave Ste 2300 Spokane WA 99216-2839 Ph: (509) 924-8721 |
| NPI Number | 1083949374 |
|---|---|
| Provider Enumeration Date | 10/05/2009 |
| Last Update Date | 12/04/2014 |
| Medicare PECOS PAC ID | 7315084811 |
|---|---|
| Medicare Enrollment ID | O20091031000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083949374 | NPI | - | NPPES |
| 7119845 | Medicaid | WA |
| Provider Name | Susan K Lehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730254863 PECOS PAC ID: 1254362353 Enrollment ID: I20050829000712 |
| Provider Name | Linda S Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891761672 PECOS PAC ID: 8224176334 Enrollment ID: I20091208000066 |
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