| Organization Name: | DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6 |
| NPI Number: | 1265422935 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE EVANS (HIM/CREDENTIALING COORDINATOR) |
| Mailing Address: | 411 Fortuyn Rd Grand Coulee |
| State: | WA US |
| Postal Code: | 991338718 |
| Phone Number: | 5096331753 |
| Fax Number: | 5096333644 |
| NPI Enumeration Date: | 10/25/2005 |
| NPI Last Update Date: | 06/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | HAC.FS.00000150 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |