Organization
COGENT MEDICINE PNW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER MISIUK (OFFICE MANAGER, NURSE)
(509) 655-2242
Entity
Organization
Contact information
Practice address
9116 E SPRAGUE AVE # 464, SPOKANE VALLEY, WA 99206-4397
(509) 655-2242
Mailing address
9116 E SPRAGUE AVE #464, SPOKANE VALLEY, WA 99206
(509) 655-2242
(855) 587-4627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
305S00000X
Point of Service
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2145905
—
WA
05
—
9643800
—
WA
01
—
G9009376
MEDICARE
WA
Enumeration date
09/30/2019
Last updated
03/08/2024
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