Advanced Wound Therapy-Wa, PLLC

Organization Active NPI Family Medicine Physician · Spokane Valley, WA

NPI 1134087422 · NPPES record last updated Jan 14, 2026

Key facts

NPI
1134087422
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ADVANCED WOUND THERAPY-WA, PLLC
Practice address
12615 E Mission Ave Ste 303
Spokane Valley, WA 99216-1047
Phone
(918) 592-9020
NPI assigned
Jan 14, 2026
Organization subpart
No

Authorized official

Name
Scott Dickman
Title
Chief Administrative Officer
Phone
(918) 592-9020

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

12615 E Mission Ave Ste 303
Spokane Valley, WA 99216-1047

Mailing address

2488 E 81St St Ste 2000
Tulsa, OK 74137-4224
Phone (918) 592-9020

Other providers in Spokane Valley, WA

All providers in Spokane Valley, WA · Family Medicine Physician in Washington

Sources for this page

Verify at the official NPI Registry.