| Wsu Health | |
|
310 N Riverpoint Blvd Spokane WA 99202-1610 | |
| (509) 505-7481 | |
| (509) 606-2515 |
| Full Name | Wsu Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 N Riverpoint Blvd, Spokane, Washington |
| Authorized Official Name and Position | Melissa Bocardo (PRACTICE MANAGER) |
| Authorized Official Contact | 5095057481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wsu Health 412 E Spokane Falls Blvd Spokane WA 99202-2131 Ph: (509) 505-7481 | Wsu Health 310 N Riverpoint Blvd Spokane WA 99202-1610 Ph: (509) 505-7481 |
| NPI Number | 1811726193 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 06/01/2026 |
| Certification Date | 06/01/2026 |
| Medicare PECOS PAC ID | 2567432743 |
|---|---|
| Medicare Enrollment ID | O20040727000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811726193 | NPI | - | NPPES |
| 2335372 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 152WV0400X | Optometrist - Vision Therapy | (NU) | Secondary |
| 207Q00000X | Family Medicine | (NU) | Secondary |
| Provider Name | Jennifer Frazier Kurtulus |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093914863 PECOS PAC ID: 9133691967 Enrollment ID: I20260612001464 |
| Provider Name | Mercedes Demartini |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164075800 PECOS PAC ID: 6204308034 Enrollment ID: I20260612001576 |
| Provider Name | Ashley Brooke Winkle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174041222 PECOS PAC ID: 3971075706 Enrollment ID: I20260612001788 |
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