Search › Washington › 1041C0700X

Michael Bothun

NPI 1467347815 · on the registry since 2025

Practice

Address
7506 N Laurelhurst Dr
Spokane, WA 99208
Phone
(509) 309-6052

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-09

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