Organization
PACWEST HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HEFFERNAN MD (PRESIDENT)
(509) 385-4339
Entity
Organization
Contact information
Practice address
9106 W RUTTER PKWY, SPOKANE, WA 99208-9210
(509) 385-4339
Mailing address
108 STRAIGHT AWAY LN, LAUREL FORK, VA 24352-3988
(276) 730-5919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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