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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TIA RAE TAGUE, LMP

Active

Specialist · SPOKANE VALLEY, WA

Registration Details

NPI Number
1891823100
Provider Type
Individual
Gender
Female
NPI Issued
Feb 28, 2007 (19.170882350604 yrs)
Last Updated
Feb 24, 2023
License
MA00018360 (WA)

Practice Information

Address
12422 E MANSFIELD AVE APT 90
SPOKANE VALLEY, WA, 992161167
Browse WA providers · Browse ZIP 99216
Phone
5099906104
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist

Other Specialist Providers in SPOKANE VALLEY, WA

Name Credential NPI
MR. RUSSELL MIKAMI P.T. 1225016488
MRS. TAMMY DENISE ROLE MPT 1871551044
CAROL L HATHAWAY MD, FACS, P.S. 1306956669
MRS. DIAN LYNN COGDILL LMP 1124170279
RENNAE SCHMIDT LMP 1679611982
MS. LINDA C ESMAY LMP 1407998644
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.