Individual provider Active NPI

Paul Phoro

  • Licensed Practical Nurse
  • Spokane Valley, WA
National Provider Identifier
1003712274
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP61251439 Issued in WA
Practice address
1822 S Fawn Dr
Spokane Valley, WA 99206-3318
Phone
(509) 701-3150
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP61251439 WA Primary

Addresses

Primary practice location

1822 S Fawn Dr
Spokane Valley, WA 99206-3318

Mailing address

1822 S Fawn Dr
Spokane Valley, WA 99206-3318
Phone (509) 701-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1003712274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 S FAWN DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063318",
            "telephone_number": "509-701-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 S FAWN DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063318",
            "telephone_number": "509-701-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHORO",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61251439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.