Healthcare Provider Details
I. General information
NPI: 1891410452
Provider Name (Legal Business Name): ASSOCIATES FOR WOMEN'S HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2022
Last Update Date: 10/06/2022
Certification Date: 10/05/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
212 E CENTRAL AVE STE 340
SPOKANE WA
99208-6289
US
IV. Provider business mailing address
212 E CENTRAL AVE STE 340
SPOKANE WA
99208-6289
US
V. Phone/Fax
- Phone: 509-484-1236
- Fax: 509-484-2012
- Phone: 509-484-1236
- Fax: 509-484-2012
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ABIGAIL
PREST
Title or Position: PHYSICIAN
Credential: DO
Phone: 402-290-8696