Organization · Type 2 NPI
Providence Health & Services - Washington
Cardiovascular Disease Physician · Odessa, WA
NPI number
1407162571
Active
Practice location
510 E Amende Drive
Odessa, WA 99159-0000
Mailing address
122 W 7th Ave
Spokane, WA 99204-2349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | None listed |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
About NPI 1407162571
Providence Health & Services - Washington's National Provider Identifier is 1407162571, issued on Aug 26, 2010. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Odessa, WA. The record was last updated on Aug 1, 2025.