Active NPI
Premier Clinical Research
- Research Study Specialist
- Spokane, WA
National Provider Identifier
1386911832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Study Specialist
- Legal business name
- PREMIER CLINICAL RESEARCH
- Practice address
- 104 W 5TH Ave
320W
Spokane, WA 99204-4880 - Phone
- (509) 343-3710
- Fax
- (509) 242-1799
- NPI assigned
- Nov 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dalyn M Boehm, BS
- Title
- Director of Research/ Co Owner
- Phone
- (509) 879-6887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Study Specialist | 1744R1102X | Primary |
Addresses
Primary practice location
104 W 5TH Ave
320W
Spokane, WA 99204-4880
Mailing address
104 W 5TH Ave
320W
Spokane, WA 99204-4880
Phone (509) 343-3710
National Provider Directory
National Provider DirectoryLocations
104 W 5th Ave
#320W
Spokane, WA 99204
Phone (509) 343-3710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322524800000",
"number": "1386911832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W 5TH AVE",
"address_2": "320W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044880",
"telephone_number": "509-343-3710",
"fax_number": "509-242-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 5TH AVE",
"address_2": "320W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044880",
"telephone_number": "509-343-3710",
"fax_number": "509-242-1799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER CLINICAL RESEARCH",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A",
"authorized_official_last_name": "BOEHM",
"authorized_official_first_name": "DALYN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR OF RESEARCH/ CO OWNER",
"authorized_official_telephone_number": "509-879-6887",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "1744R1102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist, Research Study",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Molly Prenger
- Alan Prentiss, MD
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- Jessica Prescott
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.