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Contact Information

JACQUELYN N VICTOROFF, MD
101 W 8TH AVE
SPOKANE, WA99204
 Phone: 509-474-3260
 Fax: 509-227-7070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for JACQUELYN N VICTOROFF · (Female)

NPI # 1093102287
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2015
Last updated 04/28/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD60870345
Hospital affiliation(s)
  • PROVIDENCE SACRED HEART MEDICAL CENTER - (Acute Care)
    101 WEST 8TH AVENUE
    SPOKANE, WA 99204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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