Mid River Skin Clinic – Family Nurse Practitioner, NPI 1245767631

Mid River Skin Clinic is a healthcare provider. based in Spokane, Washington. specializing in Family Nurse Practitioner. The NPI Number for Mid River Skin Clinic is 1245767631

Main info

Organization
Name
Mid River Skin Clinic
NPI
1245767631
Phone
(509) 321-4590
Address
101 W Cascade Way Ste 100
Authorized Official
ERIC DUDENHOFER PRESIDENT/CEO ARNP
Enumeration Date
16 May 2017
Last Update Date
9 June 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness80
Years active:9State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Mid River Skin Clinic

  • 101 W Cascade Way Ste 100

    Spokane, WA 992086000

    Phone: (509) 321-4590

    Type: Location

  • 12727 W 14th Ave

    Airway Heights, WA 990019409

    Phone: (509) 321-4590

    Type: Location

  • PO BOX 193

    NINE MILE FALLS, WA 990260193

    Phone: (509) 321-4590

    Fax: (509) 321-4593

    Type: Mailing

  • 1271, Highland Avenue, Clarkston, Asotin County, Washington, 99403, United States

    CLARKSTON, WA 994032846

    Phone: (509) 321-4590

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99208)

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Reviews

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Frequently asked questions

Is Mid River Skin Clinic listed with a National Provider Identifier?
Yes — Mid River Skin Clinic has NPI 1245767631 on file in the registry.
Is there an active status for Mid River Skin Clinic?
For scheduling context, Mid River Skin Clinic is shown as active in the registry.
What clinical focus is listed for Mid River Skin Clinic?
At a glance, Mid River Skin Clinic is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Mid River Skin Clinic associated with Spokane?
Public fields place Mid River Skin Clinic around Spokane, Washington. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Mid River Skin Clinic is noted as May 16, 2017 where the registry provides it.

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