NPI
Edward L Deatherage
NPI 1720141575
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- Ph.D.
- Type
- Individual
- Enumeration date
- 2006-12-19
- Last updated
- 2016-06-21
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Specialties
Licenses
- License WA
- PY00000714
Location
- Practice location
- 5814 S Thistle Ln
- City
- Spokane WA
- Postal code
- 99223-1702
- Phone
- (208) 651-0179
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Spokane, WA. 16,582 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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