Provider Demographics
NPI:1730683053
Name:SELKIRK NEUROLOGY PLLC
Entity type:Organization
Organization Name:SELKIRK NEUROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:ALDRED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-473-0885
Mailing Address - Street 1:610 S SHERMAN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1342
Mailing Address - Country:US
Mailing Address - Phone:509-458-7720
Mailing Address - Fax:
Practice Address - Street 1:610 S SHERMAN ST STE 201
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1342
Practice Address - Country:US
Practice Address - Phone:509-473-0885
Practice Address - Fax:509-795-0895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty