Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | LH00003406 | WA |
N | 225100000X | Physical Therapist | PT00003756 | WA |
NPI | 1003030917 |
---|---|
Provider Name | Dr. Myron Ross Thurber |
First Address | Spokane Valley, WA 99206-4942 |
Second Address | Spokane Valley, WA 99206-4942 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |