Individual provider · Type 1 NPI

Ennessa Ivy Gorkovchenko, PA-C

Physician Assistant · Spokane, WA

NPI number 1124532502 Active

Practice location

217 W Cataldo Ave
Spokane, WA 99201-2217

Call (509) 747-6194 Map

Fax (509) 252-2837

Mailing address

PO Box 2242
Spokane, WA 99210-2242

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA60901681 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124532502

Ennessa Ivy Gorkovchenko, PA-C's National Provider Identifier is 1124532502, issued on Nov 21, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Spokane, WA. The record was last updated on Sep 28, 2018.