Active NPI 1669482154 Individual Practitioner Male Practitioner

Dr. Adnan Z Rizvi , MD

Surgery - Vascular Surgery • Spokane, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Adnan Rizvi, MD is a certified Surgery - Vascular Surgery practicing in Spokane, WA. With approximately 26 years of clinical experience since graduating from New York Medical College in 2000, Dr. Rizvi delivers high-quality medical care to the local community at 122 W 7TH AVE.

Dr. Rizvi is affiliated with Providence Health And Services Washington and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, complete ultrasound study of arm and leg arteries, ultrasound of both sides of head and neck blood flow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

122 W 7th Ave
Suite 420

Spokane, WA 992042349

Telephone 5096269440

Associated Practice Facility / Clinic

🏢 Heart Clinics Northwest Ps Facility NPI 1689614083

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Spokane, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +2.4 yrs vs City Avg

City Avg: 23.6 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

11 Specialists

Practicing in Spokane, WA (135 Statewide)

Telehealth Adoption Rate

36.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rizvi (26 Years) 26 Yrs

Spokane Specialty Average (23.6 Years) 23.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	154	128	$276.00	$90.66
93923 Complete ultrasound study of arm and leg arteries	143	109	$395.00	$108.45
93880 Ultrasound of both sides of head and neck blood flow	116	107	$590.00	$187.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$508.00	$165.00
93926 Ultrasound of one leg arteries or artery grafts	66	53	$440.00	$128.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	54	$391.00	$127.90
93925 Ultrasound of leg arteries or artery grafts	61	43	$740.00	$239.81
93990 Ultrasound of dialysis access	52	30	$452.00	$130.82
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	37	35	$368.00	$120.75
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	35	33	$557.00	$172.48
93970 Ultrasound study of arm or leg veins with compression and maneuvers	29	29	$564.45	$180.00
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	28	25	$821.00	$267.32
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	27	26	$39.00	$11.73
99442 Telephone medical discussion with physician, 11-20 minutes	20	19	$276.00	$90.41
37236 Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by radiologist, initial artery	11	11	$1322.00	$393.72
36471 Injection of chemical agent into multiple incompetent veins of leg	11	11	$615.00	$145.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	138	$260.00	$89.95
93923 Complete ultrasound study of arm and leg arteries	148	99	$372.00	$107.63
93880 Ultrasound of both sides of head and neck blood flow	90	86	$556.00	$191.78
93926 Ultrasound of one leg arteries or artery grafts	88	55	$415.00	$128.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$479.00	$163.99
93990 Ultrasound of dialysis access	55	28	$426.00	$128.66
93925 Ultrasound of leg arteries or artery grafts	49	38	$698.00	$240.09
76937 Ultrasonic guidance for blood vessel access	41	39	$41.00	$13.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$368.00	$127.14
93970 Ultrasound study of arm or leg veins with compression and maneuvers	34	34	$548.00	$192.25
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	32	31	$347.00	$121.73
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	30	29	$36.00	$12.13
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	27	25	$525.00	$179.69
35301 Removal of blood clot and portion of artery of neck	20	20	$3073.92	$1024.65
99442 Telephone medical discussion with physician, 11-20 minutes	19	18	$260.00	$89.91
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	18	14	$774.00	$271.56
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	16	14	$677.00	$222.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$143.00	$48.70
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	15	15	$1253.00	$349.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	107	$242.00	$91.97
93923 Complete ultrasound study of arm and leg arteries	135	98	$346.85	$111.08
93880 Ultrasound of both sides of head and neck blood flow	78	71	$524.00	$194.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$446.00	$168.50
93926 Ultrasound of one leg arteries or artery grafts	61	43	$392.00	$135.03
93925 Ultrasound of leg arteries or artery grafts	51	40	$652.00	$247.52
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	44	39	$327.00	$123.62
93990 Ultrasound of dialysis access	36	19	$404.00	$136.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$341.00	$129.99
93970 Ultrasound study of arm or leg veins with compression and maneuvers	28	28	$515.00	$196.23
76937 Ultrasonic guidance for blood vessel access	28	27	$36.00	$13.73
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	26	24	$496.00	$183.92
99442 Telephone medical discussion with physician, 11-20 minutes	24	24	$241.00	$89.00
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	22	20	$34.00	$12.53
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	19	14	$728.00	$263.17
35301 Removal of blood clot and portion of artery of neck	17	17	$3070.24	$1106.19
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	17	14	$3038.00	$1164.40
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	15	14	$1180.00	$390.04
36470 Injection of chemical agent into single incompetent vein	11	11	$313.00	$70.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	139	$233.00	$92.11
93923 Complete ultrasound study of arm and leg arteries	151	115	$348.00	$115.08
93880 Ultrasound of both sides of head and neck blood flow	95	84	$525.00	$204.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$429.00	$166.27
93926 Ultrasound of one leg arteries or artery grafts	71	53	$391.00	$133.91
93925 Ultrasound of leg arteries or artery grafts	56	46	$667.00	$262.30
93990 Ultrasound of dialysis access	53	33	$400.00	$135.57
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	47	45	$321.00	$126.20
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	40	38	$32.00	$12.59
93970 Ultrasound study of arm or leg veins with compression and maneuvers	34	34	$512.00	$204.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	27	$331.00	$132.27
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	29	25	$726.00	$289.66
99442 Telephone medical discussion with physician, 11-20 minutes	23	23	$234.00	$92.35
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	21	21	$495.00	$187.15
35301 Removal of blood clot and portion of artery of neck	21	18	$2887.00	$1122.14
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	18	18	$1433.86	$394.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	14	$97.00	$38.49
36471 Injection of chemical agent into multiple incompetent veins of leg	11	11	$528.00	$151.83
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$149.00	$59.74
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	11	11	$1132.00	$360.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93923 Complete ultrasound study of arm and leg arteries	140	122	$325.00	$112.71
93880 Ultrasound of both sides of head and neck blood flow	128	122	$491.00	$202.57
99213 Established patient office or other outpatient visit, typically 15 minutes	126	115	$183.92	$76.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$403.00	$165.40
93990 Ultrasound of dialysis access	71	41	$382.00	$139.74
93926 Ultrasound of one leg arteries or artery grafts	71	54	$369.00	$135.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	55	$266.00	$111.17
93925 Ultrasound of leg arteries or artery grafts	59	49	$624.00	$263.48
93970 Ultrasound study of arm or leg veins with compression and maneuvers	46	46	$479.00	$201.97
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	35	35	$463.00	$186.90
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	34	31	$299.00	$123.60
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	30	29	$30.00	$12.66
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	17	15	$604.00	$235.49
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	17	16	$213.00	$87.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$497.00	$206.24
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	13	12	$681.00	$273.33
35301 Removal of blood clot and portion of artery of neck	12	12	$2862.00	$1170.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	145	132	$494.18	$203.80
93923 Complete ultrasound study of arm and leg arteries	116	98	$329.00	$112.67
99213 Established patient office or other outpatient visit, typically 15 minutes	110	97	$181.71	$74.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$402.07	$163.10
93926 Ultrasound of one leg arteries or artery grafts	77	65	$370.53	$133.48
93990 Ultrasound of dialysis access	62	38	$378.15	$136.96
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	61	56	$297.43	$121.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	54	$265.48	$110.31
93925 Ultrasound of leg arteries or artery grafts	55	45	$629.64	$262.56
93970 Ultrasound study of arm or leg veins with compression and maneuvers	44	44	$479.00	$194.59
93924 Ultrasound study of arteries of both legs at rest and exercise	41	37	$405.34	$153.35
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	34	34	$460.79	$188.11
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	34	34	$30.00	$12.53
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	24	22	$1409.54	$397.93
35301 Removal of blood clot and portion of artery of neck	19	18	$2853.00	$1162.65
28825 Amputation of toe at toe joint	18	14	$922.33	$234.56
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	17	17	$211.82	$88.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$265.00	$109.68
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	15	13	$686.00	$285.16
35371 Removal of blood clot and portion of artery of upper thigh artery	14	14	$2160.99	$719.37
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	14	14	$1124.14	$395.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$494.15	$205.41
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	13	12	$5045.00	$2100.86
36470 Injection of chemical agent into single incompetent vein	12	11	$262.50	$68.28
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	11	11	$2541.00	$985.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93923 Complete ultrasound study of arm and leg arteries	127	94	$313.29	$110.19
99213 Established patient office or other outpatient visit, typically 15 minutes	116	95	$170.64	$71.36
93880 Ultrasound of both sides of head and neck blood flow	115	108	$482.22	$204.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$386.83	$161.91
93926 Ultrasound of one leg arteries or artery grafts	77	61	$359.03	$134.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	53	$253.00	$106.79
93990 Ultrasound of dialysis access	61	33	$379.00	$137.42
93925 Ultrasound of leg arteries or artery grafts	60	43	$602.07	$255.86
76937 Ultrasonic guidance for blood vessel access	49	47	$33.98	$14.49
93970 Ultrasound study of arm or leg veins with compression and maneuvers	48	48	$465.50	$199.34
93924 Ultrasound study of arteries of both legs at rest and exercise	44	39	$403.00	$154.99
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	40	37	$280.18	$115.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	16	$92.00	$39.22
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	22	22	$456.00	$193.97
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	22	22	$203.64	$86.49
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	20	18	$30.00	$12.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$478.00	$203.21
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	18	17	$1303.25	$365.57
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	18	14	$672.00	$288.42
35301 Removal of blood clot and portion of artery of neck	17	16	$2743.00	$1153.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$322.00	$136.92
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	15	14	$2298.51	$964.88
36470 Injection of chemical agent into single incompetent vein	15	15	$250.00	$56.91
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	14	14	$3581.00	$1454.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$254.00	$108.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$384.55	$159.04
93880 Ultrasound of both sides of head and neck blood flow	121	110	$472.87	$198.77
99213 Established patient office or other outpatient visit, typically 15 minutes	106	89	$170.89	$72.04
93923 Complete ultrasound study of arm and leg arteries	93	78	$318.17	$113.90
93990 Ultrasound of dialysis access	87	49	$367.23	$132.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	65	$251.85	$105.28
93970 Ultrasound study of arm or leg veins with compression and maneuvers	63	63	$462.86	$196.61
93926 Ultrasound of one leg arteries or artery grafts	56	47	$352.13	$129.91
76937 Ultrasonic guidance for blood vessel access	50	47	$33.92	$14.34
93925 Ultrasound of leg arteries or artery grafts	47	39	$588.00	$251.78
93924 Ultrasound study of arteries of both legs at rest and exercise	46	38	$396.50	$155.09
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	40	36	$282.73	$119.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$321.60	$135.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$474.89	$200.65
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	26	26	$132.23	$55.72
35301 Removal of blood clot and portion of artery of neck	23	23	$2756.39	$1127.23
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	22	15	$656.59	$279.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	16	$91.84	$38.78
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	18	17	$447.11	$187.92
36821 Relocation of arm vein with connection to arm artery, open procedure	17	17	$1614.35	$663.06
37226 Insertion of stent in arteries of leg	16	15	$1277.00	$389.62
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	15	12	$520.32	$208.38
27880 Amputation of both lower leg bones	13	12	$2298.12	$854.06
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	13	12	$3583.00	$1526.22
36200 Insertion of catheter into aorta	13	13	$457.69	$98.40
36470 Injection of chemical agent into single incompetent vein	11	11	$347.73	$73.73
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	11	11	$1486.23	$369.71

Medical Specialties & State Licenses

CMS Verified: 2021-05-18

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License WA MD60539899

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License MN 49021

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License MT 51984

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Hospital & Practice Group Affiliations

Providence Health And Services Washington

1923 S Grand Blvd, Spokane, WA 992032347

Phone: 5096269484

Providence Health And Services Washington

1919 S Grand Blvd, Spokane, WA 992032347

Phone: 5097473081

Providence Health And Services Washington

62 W 7th Ave, Spokane, WA 992042321

Phone: 5096269440

Providence Health And Services Washington

1200 E Columbia Ave, Colville, WA 991143354

Phone: 5096843701

Providence Health And Services Washington

16528 E Desmet Ct, Spokane, WA 992163522

Providence Health And Services Washington

101 W 8th Ave, Spokane, WA 992042307

Secondary Practice Locations

62 W 7th Ave Ste 420

Spokane, WA 992042321

Phone: 5096269440

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. Luke Zhan , MD, PhD

Surgery - Vascular Surgery

NPI 1043524481

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Michele Richard , MD

Surgery - Vascular Surgery

NPI 1083055487

Doctor of Medicine (M.D.)

Dr. Ryan Nachreiner , MD

Surgery - Vascular Surgery

NPI 1104874569

Doctor of Medicine (M.D.)

Ryan Forsyth , PA-C

Physician Assistant

NPI 1144538158

Physician Assistant (Certified)

Marcel Perez Reveron

Physician Assistant

NPI 1174370332

Dr. Megan Hoefer , MD

Internal Medicine

NPI 1306941109

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2021

Surgery (License #49021 in MN)

✅

NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 19, 2017

Registered at 122 W 7TH AVE, SUITE 420, SPOKANE, WA 992042349 (Tel: 5096269440)

📍

Updated Business Mailing Address January 19, 2017

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)

👤

Provider Name / Credentials Updated January 19, 2017

Recorded as ADNAN RIZVI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Surgery (License #51984 in MT)

✅

NPI Profile Active October 15, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2015

Registered at 122 W 7TH AVE, SUITE 420, SPOKANE, WA 992042349 (Tel: 5096269440)

📍

Updated Business Mailing Address October 15, 2015

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)

👤

Provider Name / Credentials Updated October 15, 2015

Recorded as ADNAN RIZVI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2015

Surgery (License #MD60539899 in WA)

🟢

Initial NPI Registration & Enumeration August 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1669482154

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 08, 2006

Last Update: May 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 8667472455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.