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Contact Information

LICENNA M DUNN, PHYSICIAN ASSISTANT
800 W 5TH AVE
SPOKANE, WA99204-2803
 Phone: 509-603-5800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for LICENNA M DUNN · (Female)

NPI Number 1457154023
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 03/31/2025
Last updated 03/31/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WA License # PA.61673586
Hospital affiliation(s) Not Available
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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