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Ms. Ennessa Ivy Gorkovchenko, PA-C
Physician Assistant in Spokane, Washington
NPI 1124532502

Ennessa Ivy Gorkovchenko is a Physician Assistant based in Spokane, WA. Ennessa Ivy Gorkovchenko practices in Spokane, WA and has the professional credentials of PA-C. The NPI Number for Ennessa Ivy Gorkovchenko is 1124532502 and holds a License No. (Washington).

The current practice location address for Ennessa Ivy Gorkovchenko is 217 W Cataldo Ave, Spokane, WA and can be reached out via phone at 509-747-6194 and via fax at 509-252-2837.

Location: 217 W Cataldo Ave, Spokane, WA, 99210-2242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124532502
Provider Name
Ennessa Ivy Gorkovchenko
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
217 W Cataldo Ave, Spokane, WA, 99210-2242
Phone Number
509-747-6194
Fax Number
509-252-2837
Provider Enumeration Date
11/21/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA60901681 01 WA DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
217 W Cataldo Ave
City
Spokane
State
Washington
Zip
99201-2217
Phone Number
509-747-6194
Fax Number
509-252-2837
person
Provider Business Mailing Address Details
Address
217 W Cataldo Ave
City
Spokane
State
Washington
Zip
99201-2217
Phone Number
509-747-6194
Fax Number
509-252-2837
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA60901681 (Washington)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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