Individual provider · Type 1 NPI

Samantha Back

Student in an Organized Health Care Education/Training Program · Spokane, WA

NPI number 1194520072 Active

Practice location

101 W 8th Ave
Spokane, WA 99204-2307

Call (509) 474-3131 Map

Mailing address

13313 Danube Ln
Rosemount, MN 55068-4360

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194520072

Samantha Back's National Provider Identifier is 1194520072, issued on Feb 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spokane, WA. The record was last updated on Feb 15, 2025.