Healthcare Provider Details

I. General information

NPI: 1245152362
Provider Name (Legal Business Name): PACWEST PALLIATIVE CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

9106 W RUTTER PKWY
SPOKANE WA
99208-9210
US

IV. Provider business mailing address

9106 W RUTTER PKWY
SPOKANE WA
99208-9210
US

V. Phone/Fax

Practice location:
  • Phone: 509-385-4339
  • Fax:
Mailing address:
  • Phone: 509-385-4339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON HEFFERNAN
Title or Position: MD/CEO
Credential:
Phone: 509-385-4339