MIRANDA K DETORE


Address: 217 W Cataldo Ave, Spokane, WA 99201-2217
Phone: 5097476194

MIRANDA K DETORE (NPI# 1720471774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720471774
Entity Type Individual
Full Name MIRANDA K DETORE
Credential PA-C
Practice Address 217 W Cataldo Ave
Spokane
WA 99201-2217
Mailing Address Po Box 2242
Spokane
WA 99210-2242
Practice Telephone 5097476194
Practice Fax Number 5092522837
Mailing Telephone 5097476194
Mailing Fax Number 5092522837
Enumeration Date 2015-03-16
Last Update Date 2016-11-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 217 W CATALDO AVE
City SPOKANE
State WA
Zip Code 99201-2217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326024092 Frederick Paul French Surgery 217 W Cataldo Ave, Spokane, WA 99201-2217 2005-12-15
1558989442 Brittany Richelle Martin Nurse Practitioner 217 W Cataldo Ave, Spokane, WA 99201-2217 2020-07-08
1811541527 Hannah Jones Audiologist 217 W Cataldo Ave, Spokane, WA 99201-2217 2019-07-31
1760963698 Jessica Lil Anderies Physician Assistant 217 W Cataldo Ave, Spokane, WA 99201-2217 2018-08-28
1124532502 Ennessa Ivy Gorkovchenko Physician Assistant 217 W Cataldo Ave, Spokane, WA 99201-2217 2017-11-21
1811423593 Lucas Shulman Physician Assistant 217 W Cataldo Ave, Spokane, WA 99201 2017-05-02
1013441336 Edward Hans Kaio Hearing Instrument Specialist 217 W Cataldo Ave, Spokane, WA 99201-2217 2017-04-13
1306390703 Nadine E King Hearing Instrument Specialist 217 W Cataldo Ave, Spokane, WA 99201-2217 2016-08-15
1972963098 Columbia Surgical Specialists Audiologist 217 W Cataldo Ave, Spokane, WA 99201-2217 2016-03-02
1437519568 Suzanne Reed Audiologist 217 W Cataldo Ave, Spokane, WA 99201-2217 2016-03-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013517952 Maria Escobedo Counselor 1321 N. Ash, Spokane, WA 99201 2020-10-29
1619576774 Bethany Heath Arnp-pmhnp Pllc Nurse Practitioner 1224 West Riverside, Apt 408, Spokane, WA 99201 2020-10-20
1811594658 Kaaren Goeller-bloom Counselor 106 West Mission, Spokane, WA 99201 2020-10-05
1649732793 Marsha Rose Valenzuela Peer Specialist Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 2019-04-05
1770047896 Rachel Nicole Burns Counselor 1321 W. Broadway Ave, Spokane, WA 99201 2019-01-23
1760953384 Nicole Renee Breesnee Counselor 2308 W. 3rd Ave, Spokane, WA 99201 2018-12-07
1083184675 Alicia L Paschall Counselor 222 S Howard St, Apt 310, Spokane, WA 99201 2018-11-27
1003383159 Sandra Kay Robinson Counselor New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 2018-10-26
1801361191 Michael Joseph Lehman Naturopath 316 W Boone Ave Ste 777, Spokane, WA 99201 2018-10-12
1316422454 Cmdpn Medical Group of Washington, P.C. Emergency Medicine 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 2018-09-25
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528201415 Molly Rose Morgan Physician Assistant 105 W 8th Ave Ste 532, Spokane, WA 99204-2318 2009-04-08
1033264056 Kristin Michele Treece Physician Assistant 212 E Central Ave Ste 245, Spokane, WA 99208 2007-01-23
1588663835 Ted A. Branstetter Physician Assistant 910 W 5th Ave, Ste 1000, Spokane, WA 99204-2966 2005-07-19
1598112211 Kellen Gumm Physician Assistant 122 W 7th Ave Ste 110, Spokane, WA 99204-2301 2016-05-23
1275998114 Annamarie Rose Vaughan Physician Assistant 62 W 7th Ave Ste 110, Spokane, WA 99204 2015-12-18
1295137578 Sara C Zimmer Physician Assistant 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 2014-09-18
1811321607 Matthew Garrett Sutter Physician Assistant 212 E Central Ave Ste 245, Spokane, WA 99208-6289 2013-08-28
1396026555 Justin Wade Sassone Physician Assistant 910 W 5th Ave, Suite 900, Spokane, WA 99204-2966 2011-09-01
1578712923 Danny Lee Jones II Physician Assistant 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2457 2008-09-10
1821174202 J. Ryan Saunders Physician Assistant 220 E Rowan Ave, Suite 230, Spokane, WA 99207-1202 2006-10-28
Find all providers in SPOKANE

Competitor

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City SPOKANE
Zip Code 99201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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