# PACWEST HEALTHCARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952093742
- **Authorized official:** JASON HEFFERNAN MD (PRESIDENT)
- **Authorized official phone:** (509) 385-4339

## Contact information

- **Practice address:** 9106 W RUTTER PKWY, SPOKANE, WA 99208-9210
- **Practice address phone:** (509) 385-4339
- **Mailing address:** 108 STRAIGHT AWAY LN, LAUREL FORK, VA 24352-3988
- **Mailing address phone:** (276) 730-5919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2023
- **Last updated:** 05/22/2023