| Doctor Name: | MARJORIE K HUMPHREY |
| NPI Number: | 1710014303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA60259951 |
| Business Practice Address: | 1720 2nd St Cheney, WA - 990041910 |
| Business Phone Number: | 5094448200 |
| Business Fax Number: | |
| Mailing Address: | 203 N Washington St Ste 300, SPOKANE |
| State: | WA |
| Postal Code: | 992010233 |
| Phone Number: | 5094448888 |
| Fax Number: | 5094447806 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA60259951 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |