Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Ryan Odom, MD

Individual provider Family Medicine Physician · NPI 1700175536

Dr. Michael Ryan Odom, MD is a Family Practice in Spokane Valley, Washington. Graduated from University of Texas Medical School at San Antonio in 2011, 15 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa, Idaho, North Carolina and Nebraska and 1 more.

Years since qualifying
15
Trained at
University of Texas Medical School at San Antonio
Licensed in
IA, ID, NC, NE, NV
In the registry since
2011
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14402 E Sprague Ave
Spokane Valley, WA 99216-2167
Phone: (509) 922-2625
Fax: (877) 521-3642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15622 N Highway 41, Rathdrum, ID 83858-8710 — (208) 687-4878

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-15606 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2014-00995 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 48734 (IA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 26919 (NE)
Family Medicine Physician Taxonomy 207Q00000X · Licence 16240 (NV)

Record details

NPI number1700175536
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2011
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing address1593 E Polston Ave, Post Falls, ID 83854-5326

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2011 (15 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Spokane Valley