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421 W Riverside Ave Ste#760 Spokane WA 99201-0405 | |
| (509) 588-7340 | |
| (509) 588-7334 |
| Full Name | |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 421 W Riverside Ave, Spokane, Washington |
| Authorized Official Name and Position | Kathleen Sue Cave (ACCOUNT MANAGER) |
| Authorized Official Contact | 5095887340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
421 W Riverside Ave Ste#760 Spokane WA 99201-0405 Ph: (509) 588-7340 | 421 W Riverside Ave Ste#760 Spokane WA 99201-0405 Ph: (509) 588-7340 |
| NPI Number | 1811266745 |
|---|---|
| Provider Enumeration Date | 12/21/2011 |
| Last Update Date | 04/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811266745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD00048246 (Washington) | Primary |
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