Organization
WASHINGTON STATE UNIVERSITY
Active
Organization
WASHINGTON STATE UNIVERSITY
Active
Other names
WSU Health
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BOCARDO (PRACTICE MANAGER)
(509) 505-7481
Entity
Organization
Contact information
Practice address
310 N RIVERPOINT BLVD, SPOKANE, WA 99202-1610
(509) 505-7481
(509) 606-2515
Mailing address
412 E SPOKANE FALLS BLVD, SPOKANE, WA 99202-2131
(509) 505-7481
(509) 606-2515
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
—
—
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2335372
—
WA
Enumeration date
07/26/2024
Last updated
06/01/2026
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