Search › Washington › 363A00000X
Miranda Detore, PA-C
NPI 1720471774 · on the registry since 2015
Practice
- Address
- 217 W Cataldo Ave
Spokane, WA 99201 - Phone
- (509) 747-6194
- Fax
- (509) 252-2837
- Organisation at this address
- Columbia Surgery Center Llc
Columbia Surgical Specialists
Spokane Ear Nose And Throat ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 75
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-06
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