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ADVANCED WOUND THERAPY-WA, PLLC
NPI 1134087422
Family Medicine in Spokane Valley, WA

Active since January 14, 2026CLIA 37D2322306 · Waiver
12615 E MISSION AVE STE 303, SPOKANE VALLEY, WA 99216(918) 592-9020 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Wound Therapy-wa, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED WOUND THERAPY-WA, PLLC (NPI 1134087422) is a healthcare organization registered as a family medicine in Spokane Valley, Washington and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through April 17, 2027 and lists Scott Dickman, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1134087422
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameADVANCED WOUND THERAPY-WA, PLLC
Location Address12615 E MISSION AVE STE 303Spokane Valley, WA 99216-1047
Mailing Address2488 E 81st St Ste 2000Tulsa, OK 74137-4224 · (918) 592-9020
Phone(918) 592-9020
Organization SubpartNo
Authorized OfficialScott DickmanChief Administrative Officer · (918) 592-9020
Enumeration DateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
✔ NPI 1134087422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12615 E MISSION AVE STE 303, Spokane Valley, WA 99216
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2322306

Advanced Wound Therapy, LLC · Tulsa, OK
Active · expires Apr 17, 2027
CLIA Number37D2322306
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2025
Certificate Expiration DateApril 17, 2027
Laboratory DirectorMatthew L. Carmichael
Laboratory Phone(918) 592-9020
Laboratory LocationAdvanced Wound Therapy, LLC2488 E 81st St, Ste 2000, Tulsa, OK 74137
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Wound Therapy-Wa, PLLC's NPI number?

The NPI number for Advanced Wound Therapy-Wa, PLLC is 1134087422. It was assigned to this organization in the NPPES registry on January 14, 2026.

Where is Advanced Wound Therapy-Wa, PLLC located?

Advanced Wound Therapy-Wa, PLLC is located at 12615 E Mission Ave Ste 303, Spokane Valley, WA 99216. The listed phone number is (918) 592-9020.

What is Advanced Wound Therapy-Wa, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Advanced Wound Therapy-Wa, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2322306) is associated with this NPI, valid through April 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Wound Therapy-Wa, PLLC was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.