Jack Elliott

NPI #1457215147 in Spokane, Washington

Provider Information

NPI Number: 1457215147
Entity Type: Individual
Name: Jack Elliott
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 16, 2025
Last Updated: Dec 16, 2025

Practice Location

Address: 1960 N HOLY NAMES CT FL 3
City: Spokane
State: Washington
ZIP Code: 99224-5803
Phone: (509) 242-2308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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