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Contact Information

LUANNE A OSTLIE, PA-C
911 W. 5TH AVE.
SPOKANE, WA99204
 Phone: 509-455-7844
 Fax: 509-623-0415
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LUANNE A OSTLIE · (Female)

NPI Number 1043330293
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/30/2007
Last updated 10/10/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PA10004006
  • WA Medicaid 0201472
  • WA Medicaid 8384042
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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