Individual
JENNIFER LYNNE GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-4744
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OP61194622
WA
2084P0800X
Psychiatry Physician
Primary
OP61194622
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2019
Last updated
05/01/2023
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