Basic Information
Provider Information
NPI: 1164765632
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARBRECHT
FirstName: ERIKA
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 421
Address2:  
City: LIBERTY LAKE
State: WA
PostalCode: 990190421
CountryCode: US
TelephoneNumber: 5094743568
FaxNumber: 5092277070
Practice Location
Address1: 820 S MCCLELLAN ST STE 300
Address2:  
City: SPOKANE
State: WA
PostalCode: 992042450
CountryCode: US
TelephoneNumber: 5098387100
FaxNumber: 5092277070
Other Information
ProviderEnumerationDate: 04/02/2013
LastUpdateDate: 11/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XMD2018-0306NMN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XX0801XMD61168862WAN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207X00000XMD61168862WAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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