Organization
ROCKWOOD CLINIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MCGOLDRICK (CFO)
(509) 342-3709
Entity
Organization
Contact information
Practice address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
(509) 455-5315
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
(509) 455-5315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
WA
111N00000X
Chiropractor
—
WA
133V00000X
Registered Dietitian
—
WA
152W00000X
Optometrist
—
WA
207Q00000X
Family Medicine Physician
—
WA
207R00000X
Internal Medicine Physician
Primary
—
WA
207W00000X
Ophthalmology Physician
—
WA
2084N0400X
Neurology Physician
—
WA
2085R0001X
Radiation Oncology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
WA
225100000X
Physical Therapist
—
WA
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
WA
363A00000X
Physician Assistant
—
WA
363L00000X
Nurse Practitioner
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003284100
—
ID
05
—
2120004
—
WA
05
—
407472
—
MT
05
—
7014012
—
WA
05
—
7075310
—
WA
05
—
8064900200
—
ID
05
—
807640100
—
ID
Enumeration date
06/22/2005
Last updated
07/21/2022
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