| Spokane Psychiatric Clinic Ps | |
|
105 W 8th Ave 6055 Spokane WA 99204 | |
| (509) 455-9090 | |
| (509) 747-2118 |
| Full Name | Spokane Psychiatric Clinic Ps |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 105 W 8th Ave, Spokane, Washington |
| Authorized Official Name and Position | Jerene G Rockstrom (OFFICE MANAGER) |
| Authorized Official Contact | 5094559090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spokane Psychiatric Clinic Ps 105 W 8th Ave 6055 Spokane WA 99204 Ph: (509) 455-9090 | Spokane Psychiatric Clinic Ps 105 W 8th Ave 6055 Spokane WA 99204 Ph: (509) 455-9090 |
| NPI Number | 1235293473 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235293473 | NPI | - | NPPES |
| 1077791 | Medicaid | WA | |
| 1077817 | Medicaid | WA | |
| 0034874 | Other | L & I | |
| 1077775 | Medicaid | WA | |
| 1080191 | Medicaid | WA | |
| 1077783 | Medicaid | WA |
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