Spokane Psychiatric Clinic Ps
Psychiatry Physician in Spokane, WA(View on Map)
Legal Business Name
Spokane Psychiatric Clinic Ps
NPI Number
1235293473
NPI Type
Organization
Enumeration Date
12/21/2006
Specialties
(Taxonomies)Licenses
State
Washington
Washington
Washington
Washington
Washington
License Number
MD00015837
MD00017775
MD00019775
MD00018006
MD00021497
Contact
Information
Purpose
Mailing
Location
Address
105 W 8TH AVE
105 W 8TH AVE
City
Spokane
Spokane
State
WA
WA
Postal Code
99204
99204
Country
US
US
Telephone Number
(509) 455-9090
(509) 455-9090
Authorized Official
Name
Jerene Rockstrom
Title or Position
OFFICE MANAGER
Telephone Number
(509) 455-9090
Identifiers
Identifier
1077791
1077817
0034874
1077775
1080191
1077783
Identifier State
WA
WA
Unknown
WA
WA
WA
Identifier Issuer
Unknown
Unknown
L & I
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020
Provider Address
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