Search › Washington › 1223G0001X
Tyler Douma
NPI 1548628175 · on the registry since 2016 · sole proprietor
Practice
- Address
- 9019 E Mission Ave
Spokane Valley Office
Spokane, WA 99212 - Phone
- (855) 433-6825
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington