Dr. Ponrat Pakpreo
Pediatrician Adolescent Medicine
1212 N Pines Rd
Spokane Valley
, Washington 99206-4939
Dr. Ponrat Pakpreo
Pediatrician Adolescent Medicine
1212 N Pines Rd
Spokane Valley
, Washington 99206-4939
(509) 893-8140
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Ponrat Pakpreo
- Po Box 421
- Liberty Lake, WA
- Zip : 99019-0421
- Phone : (509) 893-8140
Second Address
- Dr. Ponrat Pakpreo
- 1212 N Pines Rd
- Spokane Valley, WA
- Zip : 99206-4939
- Phone : (509) 893-8140
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 224294 | NY |
| N | 208000000X | Pediatrician | MD00047151 | WA |
| N | 2080A0000X | Adolescent Medicine | 224294 | NY |
| Y | 2080A0000X | Adolescent Medicine | MD00047151 | WA |
National Provider Identifier
| NPI | 1023050200 |
|---|---|
| Provider Name | Dr. Ponrat Pakpreo |
| First Address | Liberty Lake, WA 99019-0421 |
| Second Address | Spokane Valley, WA 99206-4939 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2006 |
| Last Update Date | 06/03/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02689641 | (05) | NY |
| 8468340 | (05) | WA |
| AB32999 | MEDICARE GROUP (01) | WA |
| I46512 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.