Individual provider · Type 1 NPI

Ethan Lawrence Smith

Physician Assistant · Spokane Valley, WA

NPI number 1750164752 Active

Practice location

1123 N Evergreen Rd
Spokane Valley, WA 99216-1138

Fax (509) 363-0300

Mailing address

PO Box 808
Veradale, WA 99037-0808

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA1750164752 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1750164752

Ethan Lawrence Smith's National Provider Identifier is 1750164752, issued on Aug 15, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Spokane Valley, WA. The record was last updated on Oct 30, 2025.