Organization
GENESIS ADVANCED WOUND CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA PIKE (ADMINISTRATOR)
(208) 739-9961
Entity
Organization
Contact information
Practice address
522 W RIVERSIDE AVE STE 8283, SPOKANE, WA 99201-0580
(208) 739-9961
Mailing address
522 W RIVERSIDE AVE STE 8283, SPOKANE, WA 99201-0580
(208) 739-9961
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
10/15/2025
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