Provider Demographics
NPI:1447631064
Name:OPON, ARZANAH B
Entity type:Individual
Prefix:MS
First Name:ARZANAH
Middle Name:B
Last Name:OPON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 E UPRIVER DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-5181
Mailing Address - Country:US
Mailing Address - Phone:509-483-6483
Mailing Address - Fax:
Practice Address - Street 1:1506 1/2 N MONROE ST APT V
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2638
Practice Address - Country:US
Practice Address - Phone:509-710-3671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist