person
Terri J Roark, PA-C
Medical Physician Assistant in Spokane, Washington
NPI 1750359154

Terri J Roark is a Medical Physician Assistant based in Philadelphia, WA and is specialized in Medical. Terri J Roark practices in Spokane, WA and has the professional credentials of PA-C. The NPI Number for Terri J Roark is 1750359154 and holds a License No. PA10003201 (Washington).

The current practice location address for Terri J Roark is 911 W 5Th Avenue, Spokane, WA and can be reached out via phone at 509-455-7844 and via fax at 509-623-0415. You can also correspond with Terri J Roark through the mailing address at PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA - 19178-7642 (mailing address contact number: 813-281-8115).

Location: 911 W 5Th Avenue, Spokane, WA, 19178-7642
person
Provider Profile Details
NPI Number
1750359154
Provider Name
Terri J Roark
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
911 W 5Th Avenue, Spokane, WA, 19178-7642
Phone Number
509-455-7844
Fax Number
509-623-0415
Provider Enumeration Date
03/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA10003201 01 WA LICENSE
P00393503 01 WA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
911 W 5Th Avenue
City
State
Zip
99204
Phone Number
509-455-7844
Fax Number
509-623-0415
person
Provider Business Mailing Address Details
Address
Po Box 8500 Lockbox 7642
City
State
Zip
19178-7642
Phone Number
813-281-8115
Fax Number
813-281-8656
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10003201 (Washington)
Definition
Definition to come...
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