Roark, Terri J
Roark, Terri J is an individual health care provider with primary practice located at 911 W 5Th Avenue , Spokane WA 99204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Roark, Terri J can be contacted via phone (509) 455-7844.Contact Information
Primary practice address
911 W 5Th Avenue
Spokane WA 99204
Phone: (509) 455-7844
Fax: (509) 623-0415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10003201 | Washington |
Profile Details
| NPI number | 1750359154 |
|---|---|
| LBN Legal business name | Roark, Terri J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750359154 | NPPES |
| Washington | Other | PA10003201 | LICENSE |
| Washington | Other | P00393503 | LICENSE |
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