Ethan Lawrence Smith

Physician Assistant · Spokane Valley, WA

Individual Active NPI

NPI number 1750164752

Practice location

1123 N Evergreen Rd
Spokane Valley, WA 99216-1138
Phone
(509) 363-3100
Fax
(509) 363-0300

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NPI record

NPI
1750164752
Entity type
Individual (Type 1)
Enumeration date
August 15, 2023
Last updated
October 30, 2025
Certified
October 30, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA1750164752 WA

Mailing address

PO Box 808
Veradale, WA 99037-0808
Phone
(509) 363-3100
Fax
(509) 363-0300

About Ethan Smith

Ethan Lawrence Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1123 N Evergreen Rd, Spokane Valley, WA 99216-1138. The NPI number 1750164752 was assigned on August 15, 2023 and the record was last updated on October 30, 2025.

Ethan Smith lists a license in the registry: #PA1750164752 (WA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ethan Lawrence Smith?

The NPI number is 1750164752.

What is the phone number of Ethan Smith?

The phone number listed for the practice location is (509) 363-3100.

Where is Ethan Smith located?

1123 N Evergreen Rd, Spokane Valley, WA 99216-1138.

What is the taxonomy code for Ethan Smith?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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