Search › Washington › 207Q00000X
Michael Odom, M.D
NPI 1700175536 · on the registry since 2011
Practice
- Address
- 14402 E Sprague Ave
Spokane Valley, WA 99216 - Phone
- (509) 922-2625
- Fax
- (877) 521-3642
- Organisation at this address
- Kaiser Foundation Health Plan Of Washington
Kaiser Foundation Health Plan Of WashingtonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 15622 N Highway 41, Rathdrum, ID
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X
207Q00000X
207Q00000X - Licence states on file
- NC, IA, NE, NV, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-16
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