SearchWashington390200000X

Jack Elliott

NPI 1457215147 · on the registry since 2025

Practice

Address
1960 N Holy Names Ct Fl 3
Spokane, WA 99224
Phone
(509) 242-2308
Clinicians at this address
39

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-16

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