Healthcare Provider Details

I. General information

NPI: 1033030960
Provider Name (Legal Business Name): RESTORAMED HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 S COLLEGE AVE
COLLEGE PLACE WA
99324-1516
US

IV. Provider business mailing address

615 S COLLEGE AVE
COLLEGE PLACE WA
99324-1516
US

V. Phone/Fax

Practice location:
  • Phone: 509-203-0581
  • Fax:
Mailing address:
  • Phone: 509-876-0264
  • Fax: 949-997-3894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ELOY ESPINOZA
Title or Position: OWNER
Credential: MD
Phone: 509-203-0581