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Search › Idaho › 101YA0400X

James Waham, PCPRC

NPI 1598602062 · on the registry since 2026

Practice

Address
1720 18th Ave
Lewiston, ID 83501
Phone
(208) 746-4097
Fax
(208) 746-2294
Organisation at this address
Phil Waggoner
Riverside Recovery Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-01

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 Idaho