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134 verified Travel Medicine Specialists in Spokane, WA
Zocdoc verifies all providers before they can appear in Zocdoc search results. Every provider that appears in search is open to new patients.
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Availability last updated 04/23/2026
Availability last updated 04/23/2026
Internist (Virtual)
Cusick, WA
Accepting new patients · Offers video visits · Expertise in chronic diabetes + 2 more
Family Nurse Practitioner (Virtual)
5.00
·10 reviews
I couldn't get an appointment with my PCP for over a month, but Dr. Alex saw me on a same-day appointment and was so kind and helpful, hands down the most affordable and attractive self-pay option I’ve found! by AKClick to read more
Cusick, WA
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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Hello, our self-pay fee for a primary care visit on ZocDoc is $125. For a full list of my services and prices, please visit our site at carebyalex.com. Please note I don’t prescribe controlled substances like stimulants, opioids, or benzodiazepines. I’m a Doctor of Nursing Practice and board-certi...Click to read more
Internist (Virtual)
Cusick, WA
Accepts Aetna, BlueCross BlueShield, Cigna + 11 more
Accepting new patients · Offers video visits · Expertise in heart attack + 3 more ·
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Dr Pei-Chia Liang is a board-certified Internal Medicine physician with more than a decade of clinical experience. She completed her residency training at Danbury Hospital in affiliation with Yale School of Medicine, where she developed a strong foundation in evidence-based primary care. Dr. Liang ...Click to read more
Nurse Practitioner (Virtual)
Cusick, WA
Accepting new patients · Offers video visits ·
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Ed is a Board Certified Nurse Practitioner specializing in both chronic disease management and complex acute medical emergencies. He earned his Master's in Adult-Gerontology Acute Care Nursing from Georgia Southern University. Having spent 10 years caring for the sickest patients across multiple st...Click to read more
Internist (Virtual)
4.98
·42 reviews
Dr Goel was able to see me in a timely manner. He was very attentive and thorough. by TQClick to read more
Cusick, WA
Accepting new patients · 25+ years of experience · Offers video visits · Highly recommended · Excellent wait time ·
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Dr. Anupam Goel is a general internist who earned his Doctor of Medicine from Emory University and completed his residency in Internal Medicine at Barnes-Jewish Hospital. He is passionate about using technology to help patients make more informed decisions about their health care and believes it can...Click to read more
Nurse Practitioner (Virtual)
4.90
·20 reviews
Extremely professional and went out of the way to help my needs. One of the best doctors I’ve had. by MPClick to read more
Cusick, WA
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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****Self-pay only $79 per visit**** *****Please note- I am not able to refill or prescribe controlled medications at this time.******** Welcome! Common things we treat Coughs and Colds / Upper Respiratory Infections (URIs) Sore Throats / Pharyngitis Sprains and Strains Urinary Tract Infections (...Click to read more
Internist (Virtual)
5.00
·2 reviews
Dr. Duhon was a consummate professional who took the time to answer all my questions and explain his prognosis in terminology I could understand. His empathy and knowledge made me feel comfortable and confident in his care. I would highly recommend him to anyone seeking competent medical care! by KKClick to read more
Cusick, WA
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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Notice: I am currently unable to accept health insurance at this time. All visits are out of pocket. Dr. Gregory Duhon, MD, is an Internal Medicine Physician and Hospitalist with acumen in ICU, emergency room, and crisis/pandemic management. After earning his Bachelor of Science in Biology from ...Click to read more
Nurse Practitioner (Virtual)
4.67
·3 reviews
My visit was fast, clear-cut, and educational! I appreciate the friendliness and professionalism from my doctor and their staff. It was very easy to schedule and I felt like I got everything taken care of and more! - Dec 3, 2025 by Makael D.Click to read more
Pasco, WA
Accepts BlueCross BlueShield + 51 more
Accepting new patients · Offers video visits · Excellent wait time ·
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**Attention- this clinician works in a primary care clinic. Primary care clinicians are trained to treat a broad range of conditions but are not specialists in a particular field of medicine.** Andrea Munder is a dedicated nurse practitioner with over 9 years of experience in family practice. She g...Click to read more
Nurse Practitioner (Virtual)
4.33
·6 reviews
Relaxed atmosphere and great provider. - Feb 3, 2026 by Karen M.Click to read more
East Wenatchee, WA
Accepts BlueCross BlueShield + 51 more
Accepting new patients · Offers video visits · Expertise in chronic diabetes + 2 more ·
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**Attention- this clinician works in a primary care clinic. Primary care clinicians are trained to treat a broad range of conditions but are not specialists in a particular field of medicine.** Valerie Wintler grew up in the Wenatchee Valley, graduating from Cashmere High School before attending Go...Click to read more
Internist (Virtual)
4.11
·18 reviews
I had a great experience, helped my mom with the ear pain. Very easy to communicate. - Jan 6, 2026 by Prudhvi Raju J.Click to read more
Snoqualmie, WA
Accepts Aetna, BlueCross BlueShield, Cigna + 11 more
Accepting new patients · Offers video visits · Expertise in sepsis + 3 more ·
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Dr. Raheel Khalid is a highly skilled and experienced primary care doctor. He practices at Life Link Healthcare, offering virtual consultations to individuals of all ages. Dr. Khalid helps manage a range of acute and chronic conditions. Patients trust his expertise because he continuously delivers ...Click to read more
Physician Assistant (Virtual)
5.00
·2 reviews
- Jan 29, 2026 by Suvichat Y.Click to read more
Redmond, WA
Accepts BlueCross BlueShield + 49 more
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time · Expertise in acute skin infection + 1 more ·
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**Attention- this clinician works in a primary care clinic. Primary care clinicians are trained to treat a broad range of conditions but are not specialists in a particular field of medicine.** Margaret Henderson is a board certified Physician Assistant in primary and urgent care medicine. She rece...Click to read more
Family Nurse Practitioner (Virtual)
3.95
·20 reviews
I was great and fast - Feb 28, 2025 by Anthony T.Click to read more
Marysville, WA
Accepts BlueCross BlueShield, Cigna, Medicare + 10 more
Accepting new patients · Offers video visits ·
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Imagine seeking effective treatment that truly addresses your unique medical and mental health needs. You deserve support that goes beyond quick fixes, offering solutions that help manage stress, improve mood, and tackle chronic conditions or life challenges. At our clinic, we understand the importa...Click to read more
Nurse Practitioner (Virtual)
5.00
·2 reviews
Dr. Nguyen was a great doctor! She is very caring and she knows a lot about medicine. She will explain everything to you in detail and cares a lot about making sure her patients are healthy, safe, and happy. I will definitely be coming to Dr. Nguyen for my health issues from now on. by BNClick to read more
Lynnwood, WA
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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Dr. Nguyen graduated Saigon Medical School, earning a MD degree with honors. She has taught medical students and extensively trained in both anesthesiology and dermatology. In America, Dr. Nguyen is reobtaining her MD degree and graduated from the University of Massachusetts-Amherst with a doctora...Click to read more
Primary Care Doctor (Virtual)
5.00
·17 reviews
The receptionist desk already assist me with a good assistant and she knows what to do very nice person. I really like the place and she offer me some water to drink. Tell me where is the CR. That is really nice of them the MA is good also they are really experience workers. I like that. And the phy...Click to read more
Lynnwood, WA
Accepts BlueCross BlueShield + 49 more
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time · Expertise in chronic high blood pressure + 3 more ·
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**Attention- this clinician works in a primary care clinic. Primary care clinicians are trained to treat a broad range of conditions but are not specialists in a particular field of medicine.** Dr. Shah is a board-certified family medicine physician. She holds a Bachelor of Science in Public Health...Click to read more
Family Physician (Virtual)
4.80
·5 reviews
Dr. Moore is great. She is patient and really explained things that other doctors didn't. by RSClick to read more
Seattle, WA
Accepting new patients · 20 years of experience · Offers video visits · Excellent wait time ·
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I am passionate about caring for individuals and families throughout their lives. Through connection and listening, I have come to appreciate that different patients have different needs, challenges, and personal goals. Because of my interest in specialized care for individual needs, I offer a newbo...Click to read more
Family Physician (Virtual)
4.82
·4229 reviews
Fantastic doctor. No wait time, and always accurate treatment! - May 21, 2020 by Benjamin R.Click to read more
Seattle, WA
Accepts Aetna, BlueCross BlueShield, Cigna + 31 more
Accepting new patients · 25+ years of experience · Offers video visits · Highly recommended · Excellent wait time · Expertise in hiv/aids + 2 more ·
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Kindly adhere to our policy requiring patients to arrive 15 minutes prior to their scheduled appointment time for check-in registration. Patients arriving more than 10 minutes late may forfeit their appointment slot. **Please be advised that Dr. Killian does not grant or endorse FMLA or Leave of Ab...Click to read more
Primary Care Doctor (Virtual)
Seattle, WA
Accepts BlueCross BlueShield + 49 more
Accepting new patients · 25 years of experience · Offers video visits ·
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**Attention- this clinician works in a primary care clinic. Primary care clinicians are trained to treat a broad range of conditions but are not specialists in a particular field of medicine.** Dr. Mia Wise is a family medicine physician with fifteen years in practice and seven years in leadership....Click to read more
Family Nurse Practitioner (Virtual)
5.00
·8 reviews
I was well taking care of and my problem was resolved! Can't thank them enough! by MBClick to read more
Cusik, WA
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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I’m Barbara Abigide, FNP-BC, a board-certified Family Nurse Practitioner dedicated to providing compassionate, patient-centered care. I take time to listen, educate, and partner with each patient to create practical, personalized care plans. My clinical interests include primary care, metabolic heal...Click to read more
Next available: tomorrow
Internist (Virtual)
4.83
·24 reviews
I cannot say enough good things about Dr. Ludwig to fill this review. I have terminal cancer and due to an issue with insurance, I could no longer see my PCP. I needed a prescription filled ASAP. we called six other clinics that took my new insurance and the earliest they could see me was February. ...Click to read more
Cusick, WA
Accepting new patients · 18 years of experience · Offers video visits · Highly recommended · Excellent wait time ·
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Appointment Fee: $100 for one time ZocDoc visits, Cash or Debit/Credit card accepted. Age limit: Age 18 and up Pig & Penguin Wellness combines comprehensive obesity medical care and direct primary care with soothing massage therapy, offering a holistic approach to well-being. The clinic is founded...Click to read more
Next available: Mon, Apr 27
Urgent Care Clinic (Virtual)
4.03
·1607 reviews
There video didn't work I had to call to connect with Nurse - Sep 25, 2023 by Darlene K.Click to read more
Cusick, WA
Accepts Aetna, BlueCross BlueShield, Cigna + 355 more
Accepting new patients · Offers video visits ·
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Please note: Once a request is made on Zocdoc, a text message will be sent to complete your registration for HelixVM. The appointment is NOT confirmed until registration is completed. Please be sure to have your insurance and credit card nearby. HelixVM is a Virtual Medicine Practice building the f...Click to read more
Next available: tomorrow
Nurse Practitioner (Virtual)
5.00
·5 reviews
I had a great experience with Sharon. She was very informative and caring. I like a provider that is direct and to the point, but sprinkles in just enough small talk. She saw me through one of my medical issues and I have nothing but the utmost appreciation for her. I would recommend her to everyone...Click to read more
Cusick, WA
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time · Expertise in acute urinary tract infection + 1 more ·
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I have been a nurse since 1994; working in Labor and Delivery. I married into the military, and we traveled wherever the Marine Corps took us. We moved to Washington in 1997 and entered civilian life in 2001. Eventually, I got bored and took a chemistry class at the local community college…for fun. ...Click to read more
Next available: tomorrow
Internist (Virtual)
4.86
·22 reviews
Seeing that I haven't had the best experience with Doctors, I am extremely hesitant &/or picky when I am forced to find a new doctor. However, after meeting with Dr. Boyd, I feel very confident that I am in good hands. He, unlike some of the Doctors I have seen in my past, was attentive to my Medica...Click to read more
Cusick, WA
Accepting new patients · 18 years of experience · Offers video visits · Highly recommended · Excellent wait time · Expertise in chronic high blood pressure ·
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Please note, Newbridge Health DPC does not accept insurance. My medical career started in college when I became an EMT, and progressed through a variety of medical positions medical assistant, stress testing technician, and phlebotomist as my passion for the medical profession grew. My path led me ...Click to read more
Next available: Tue, Apr 28
Nurse Practitioner (Virtual)
4.67
·12 reviews
My visit to Canspireme Health & Wellness with Candice was a great experience. She provided thorough and attentive care during my routine check-up, ensuring that all my health concerns were addressed. I appreciated how she took the time to explain everything clearly, making me feel comfortable and in...Click to read more
Cusick, WA
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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Welcome to Canspireme Health & Wellness, where personalized care meets modern healthcare solutions. We specialize in weight management, primary care services, IV hydration therapy, and medication refills. Our IV therapy services are currently available only in NJ and NY, with more locations coming s...Click to read more
Next available: Sat, Apr 25
Family Physician (Virtual)
5.00
·1 review
Cusick, WA
Accepting new patients · Offers video visits · Highly recommended · Expertise in upper respiratory infection (uri) + 4 more ·
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Self-pay visit pricing: $120 per visit (We do not accept any insurance). ***We do NOT prescribe any opiates or benzos via telehealth. A 90-day supply limit applies to prescriptions; any prescriptions requested for more than 30 days will require recent blood work.*** Dr. Zaid Fadul, MD, FS, FAAFP —...Click to read more
Next available: tomorrow
Nurse Practitioner (Virtual)
5.00
·18 reviews
Mary Bulega-Kasagga is hands down the best provider I have ever seen. She is so thorough, takes her time and really cares! A++++++ - Jun 15, 2023 by Kristi I.Click to read more
Cusick, WA
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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I am an Advanced Registered Nurse Practitioner (ARNP) with over 12 years of clinical practice. I graduated from Whitworth University with my Bachelor of Science in Nursing and then obtained my Master’s degree at the University of Washington and Maryville University. In addition to being a medical pr...Click to read more
Next available: Sat, Apr 25
Nurse Practitioner (Virtual)
5.00
·3 reviews
Cusick, WA
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time
Next available: Mon, Apr 27
Nurse Practitioner (Virtual)
4.46
·35 reviews
Nice laid back office. Only issue I had was the office was a bit hard to find. - Dec 24, 2025 by Trina P.Click to read more
Edgewood, WA
Accepts Aetna, BlueCross BlueShield, Cigna + 47 more
Accepting new patients · Offers video visits · Excellent wait time ·
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Ms. Lyne Liboiron-Bouie is a nurse practitioner at Rejuvenation Medical in Edgewood, WA. She offers in-person and virtual consultations to people with common illnesses and chronic diseases. Ms. Liboiron-Bouie understands patients' conditions and prepares individualized treatment plans. She combines...Click to read more
Next available: Tue, May 5
Physician Assistant
4.79
·73 reviews
Very friendly and professional! I was late and they still got me in for evaluation and asked more questions in 15 min then I've ever been asked by any Care Physician I've had prior. They seem to care about you which is really appreciated.Click to read more
6 mi · 11402 N Newport Hwy, Ste A, Spokane, WA 99218
Accepts Aetna, BlueCross BlueShield, Cigna + 10 more
Accepting new patients · Highly recommended · Excellent wait time · Expertise in lower back pain + 5 more ·
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Ms. Kimberley Dotson is a licensed and experienced physician assistant who provides care at Choice Family Primary & Urgent Care in Spokane, WA. She has extensive knowledge and expertise in comprehensive patient care and treatment. Ms. Dotson diagnoses and treats a wide range of health issues affect...Click to read more
Family Nurse Practitioner (Virtual)
5.00
·11 reviews
Samantha is a great provider! I am so happy I met her for my care. by CMClick to read more
Cusick, WA
Accepts Cigna + 2 more
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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Samantha Turcotte is a board-certified Doctorate of Family Medicine who specializes in primary care, infectious disease, psychiatric mental health, and medication-assistance treatment. Samantha has been practicing for several years and is very passionate about patient care. Licensed to practice in...Click to read more
Family Physician (Virtual)
5.00
·31 reviews
Doctor Joanne was comforting. A great listener and I’m super happy I took the time to see her. ?? - May 9, 2025 by Mishelle B.Click to read more
Cusick, WA
Accepts Aetna, BlueCross BlueShield, UnitedHealthcare + 12 more
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time · Expertise in chronic high blood pressure + 2 more ·
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Dr. Thambuswamy is a board-certified family physician with a strong commitment to improving healthcare access for underserved communities. She earned her Doctor of Medicine from Texas Tech University Health Sciences Center and completed her residency in Family Medicine at Eastern Virginia Medical Sc...Click to read more
Nurse Practitioner (Virtual)
5.00
·12 reviews
Mrs. Dearman provided superb care during my visit! I was somewhat apprehensive about asking my personal questions but she reassured me that I was in confidential and professional hands. I appreciate the thorough explanations of my condition and treatments in layman's terms. She has a compassionate a...Click to read more
Cusick, WA
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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As a Family Nurse Practitioner with over 13 years of experience, I am dedicated to caring for individuals and families. My practice emphasizes preventive health and considers the whole person?addressing physical, emotional, and social aspects to tailor personalized care plans. I treat patients from...Click to read more
Family Nurse Practitioner (Virtual)
4.76
·17 reviews
Alecia aways takes the time to listen to all my concerns before diagnosing. I feel comfortable discussing my health with her and trust her expertise. Highly recommend! by KCClick to read more
Cusick, WA
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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Alecia DiLisa, APRN, FNP-BC, is a board-certified family nurse practitioner specializing in the treatment of weight and weight-related chronic conditions. She earned her Bachelor’s degree from Indiana State University and completed her Master’s in Nursing at United States University. Alecia has a pa...Click to read more
Family Physician (Virtual)
Cusick, WA
Accepting new patients · Offers video visits · Expertise in pneumonia and respiratory infections + 2 more ·
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Dr. Michael Ednie is a board-certified Family Medicine physician and Registered Dietitian with over 15 years of experience. His unique background as a former professional chef and nutrition expert allows him to blend medical knowledge, dietary science, and lifestyle guidance into his care. He earned...Click to read more
Family Physician (Virtual)
4.81
·78 reviews
I feel she was amazing she was able to get to the problem right away. - Jul 1, 2020 by Victoria G.Click to read more
Bellevue, WA
Accepts Aetna, BlueCross BlueShield, Cigna + 22 more
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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A passion for helping others led me down the path of Medicine into a career that allows me to provide my patients with the highest quality of healthcare. As a professional Family Practice Physician, I bring a holistic approach to medicine in order to find comfortable and effective solutions for ever...Click to read more
Family Physician (Virtual)
4.81
·78 reviews
I feel she was amazing she was able to get to the problem right away. - Jul 1, 2020 by Victoria G.Click to read more
Kent, WA
Accepts Aetna, BlueCross BlueShield, Cigna + 22 more
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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A passion for helping others led me down the path of Medicine into a career that allows me to provide my patients with the highest quality of healthcare. As a professional Family Practice Physician, I bring a holistic approach to medicine in order to find comfortable and effective solutions for ever...Click to read more
Family Physician (Virtual)
Auburn, WA
Accepting new patients · Offers video visits · Expertise in chronic diabetes + 2 more
Family Physician (Virtual)
4.91
·91 reviews
Our first appointment was great! Very informative and very empathetic to my concerns and questions. :) - Mar 27, 2018 by Shaun C.Click to read more
Seattle, WA
Accepting new patients · 25 years of experience · Offers video visits · Highly recommended · Excellent wait time · Expertise in chronic high blood pressure ·
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I am accepting NEW PATIENTS into my Direct Primary Care Membership program. I am out of network with all insurance companies. After your initial visit, when you choose to continue at our clinic through the Direct Primary Care Membership, the first month's fee is waived. You do NOT need insurance to...Click to read more
Internist (Virtual)
4.71
·56 reviews
Wonderful. Thorough, informative, caring and kind. Great experience! by AOClick to read more
Seattle, WA
Accepting new patients · 25+ years of experience · Offers video visits · Excellent wait time · Expertise in chronic high blood pressure + 2 more ·
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I am accepting NEW PATIENTS into my Direct Primary Care Membership program. I am out of network with all insurance companies. After your initial visit, when you choose to continue at our clinic through the Direct Primary Care Membership, the first month is waived. You do NOT need insurance to join o...Click to read more
Family Nurse Practitioner (Virtual)
Seattle, WA
Accepts BlueCross BlueShield + 4 more
Accepting new patients · Offers video visits ·
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Jennifer Daniels believes in relationship-based collaboration, empowering patients as active participants in their healing. She joins Village Medicine with a unique blend of Naturopathic and Nurse Practitioner training, allowing her to seamlessly combine botanicals with mainstream medications. For ...Click to read more
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Verified providers with a 4.8 average rating

Primary Care Physician
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Frequently asked questions

How can I make a same-day appointment with a Travel Medicine Specialist in Spokane?

On average, patients who use Zocdoc can search for a Travel Medicine Specialist in Spokane, book an appointment, and see the Travel Medicine Specialist within 24 hours. Same-day appointments are often available, you can search for real-time availability of Travel Medicine Specialists in Spokane who accept your insurance and make an appointment online.


How can I find a Spokane Travel Medicine Specialist who takes my insurance?

Zocdoc lets you search specifically for a Spokane Travel Medicine Specialist who takes your insurance. Just choose your carrier and plan from the drop-down menu at the top of the page. If you’re not sure which plan you have, you can use Zocdoc’s insurance checker to find out.


How can I book an appointment online with a Travel Medicine Specialist in Spokane?

Zocdoc is a free online service that helps patients find Travel Medicine Specialists in Spokane and book appointments instantly. You can search for Spokane Travel Medicine Specialists by symptom or visit reason. Then, choose your insurance plan. Based on that information, you’ll see a list of providers who meet your search criteria, along with their available appointment slots.


How can I find a female Travel Medicine Specialist in Spokane?

When you search for Spokane Travel Medicine Specialists on Zocdoc, you can filter your results by gender, in addition to other criteria. That way, you’ll only see Travel Medicine Specialists in Spokane who match your preferences.


How can I find a Spokane Travel Medicine Specialist who sees patients after hours?

On Zocdoc, you can search specifically for Spokane Travel Medicine Specialists with availability after 5 p.m.


How can I find a top-rated Travel Medicine Specialist in Spokane?

You can use Zocdoc to find Travel Medicine Specialists in Spokane who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, they’re invited to review their experience. Each review must comply with Zocdoc’s guidelines.


How can I find a video visit with a Travel Medicine Specialist online in Spokane?

Travel Medicine Specialists in Spokane on Zocdoc who see patients through online video visits will have a purple video icon on their profiles. You can also filter your search results to show only Travel Medicine Specialists who offer video visits.


Are video visits with a Travel Medicine Specialist online covered by my insurance?

Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Travel Medicine Specialists in Spokane who accept your insurance for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.


How can I find a Travel Medicine Specialist in Spokane who sees patients in the morning or evening?

Zocdoc lets you search specifically for a Travel Medicine Specialist who has appointments available before 10:00 am, or after 5:00 pm. Just choose the special hours filter at the top of our search page.


How can I find a Travel Medicine Specialist in Spokane who sees patients during the weekend?

Zocdoc let's you see real-time availability for Travel Medicine Specialists in Spokane. Many Travel Medicine Specialists offer appointments on Saturdays and Sundays.


Zocdoc›Travel Medicine Specialists›Spokane, WA