Individual
DR. PATRICIA CACKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 W 5TH AVE STE 205, SPOKANE, WA 99204-2800
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00038621
WA
207Q00000X
Family Medicine Physician
MD28918
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171037
—
OR
Enumeration date
05/23/2006
Last updated
04/27/2012
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