Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Health & Services-Wa

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1538311287

Providence Health & Services-Wa is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
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Practice location Address checks out

62 W 7th Ave Ste 110
Spokane, WA 99204-2321
Phone: (509) 456-0262
Fax: (509) 462-5059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 600503828 (WA)

Record details

NPI number1538311287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollment · (425) 358-9786
Other names Nw Heart & Lung Surgical Assoc; Nw Heart & Lung Surgical Assoc
NPI enumeratedOctober 14, 2008
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

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