Nathan Spence, MD

Certification	Cert. Body	Year
Internal medicine	Internal Medicine	Not Specified

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Review by Anonymous on December 18, 2025 -

Pulse Heart Institute Cardiology, Cardiothoracic & Vascular Services - Spokane - 910 W 5th Ave. Suite 900

Office & Staff Evaluation

Practice Evaluation

Ease of Getting an Appointment Not rated
Courtesy of Practice Staff Not rated
Appearance & Atmosphere of Office Not rated
Handling of Billing & Insurance Not rated
Average Wait Time Not rated

Provider Evaluation

Willingness to Spend Time with You Not rated
Listening Skills
Clear explanations
Trust in Decision Making Not rated
Accuracy of Diagnosis Not rated
Post-Visit Follow-Up Not rated

Comment - “ Very good people and doctors... ”

Very good people and doctors

Verified Patient

“Very good people and doctors...”

Very good people and doctors

Anonymous 12/18/2025

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Review by Anonymous on November 21, 2025 -

Pulse Heart Institute Cardiology, Cardiothoracic & Vascular Services - Spokane - 910 W 5th Ave. Suite 900

Office & Staff Evaluation

Practice Evaluation

Ease of Getting an Appointment Not rated
Courtesy of Practice Staff Not rated
Appearance & Atmosphere of Office Not rated
Handling of Billing & Insurance Not rated
Average Wait Time Not rated

Provider Evaluation

Willingness to Spend Time with You Not rated
Listening Skills
Clear explanations
Trust in Decision Making Not rated
Accuracy of Diagnosis Not rated
Post-Visit Follow-Up Not rated

Comment - “ All great... ”

All great

Verified Patient

“All great...”

All great

Anonymous 11/21/2025

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Review by Anonymous on November 16, 2025 -

Pulse Heart Institute Cardiology, Cardiothoracic & Vascular Services - Spokane - 910 W 5th Ave. Suite 900

Office & Staff Evaluation

Practice Evaluation

Ease of Getting an Appointment Not rated
Courtesy of Practice Staff Not rated
Appearance & Atmosphere of Office Not rated
Handling of Billing & Insurance Not rated
Average Wait Time Not rated

Provider Evaluation

Willingness to Spend Time with You Not rated
Listening Skills
Clear explanations Not rated
Trust in Decision Making Not rated
Accuracy of Diagnosis Not rated
Post-Visit Follow-Up Not rated

Comment - “ Very good experience... ”

Very good experience

Verified Patient

“Very good experience...”

Very good experience

Anonymous 11/16/2025

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Review by Anonymous on October 17, 2025 -

Pulse Heart Institute Cardiology, Cardiothoracic & Vascular Services - Spokane - 910 W 5th Ave. Suite 900

Office & Staff Evaluation

Practice Evaluation

Ease of Getting an Appointment Not rated
Courtesy of Practice Staff Not rated
Appearance & Atmosphere of Office Not rated
Handling of Billing & Insurance Not rated
Average Wait Time Not rated

Provider Evaluation

Willingness to Spend Time with You Not rated
Listening Skills
Clear explanations
Trust in Decision Making Not rated
Accuracy of Diagnosis Not rated
Post-Visit Follow-Up Not rated

Comment - “ Yes was an excellent experience.... ”

Yes was an excellent experience. Wonderful Dr.Explained things very well. Wonderful Dr.

Verified Patient

“Yes was an excellent experience....”

Yes was an excellent experience. Wonderful Dr.Explained things very well. Wonderful Dr.

Anonymous 10/17/2025

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Review by Anonymous on September 20, 2025 -

Pulse Heart Institute Cardiology, Cardiothoracic & Vascular Services - Spokane - 910 W 5th Ave. Suite 900

Office & Staff Evaluation

Practice Evaluation

Ease of Getting an Appointment Not rated
Courtesy of Practice Staff Not rated
Appearance & Atmosphere of Office Not rated
Handling of Billing & Insurance Not rated
Average Wait Time Not rated

Provider Evaluation

Willingness to Spend Time with You Not rated
Listening Skills
Clear explanations
Trust in Decision Making Not rated
Accuracy of Diagnosis Not rated
Post-Visit Follow-Up Not rated

Comment - “ I hold DR Spence in high regard.... ”

I hold DR Spence in high regard.

Verified Patient

“I hold DR Spence in high regard....”

I hold DR Spence in high regard.

Anonymous 09/20/2025

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Review by Anonymous on December 02, 2025 -

Pulse Heart Institute Cardiology, Cardiothoracic & Vascular Services - Spokane - 910 W 5th Ave. Suite 900

Office & Staff Evaluation

Practice Evaluation

Ease of Getting an Appointment Not rated
Courtesy of Practice Staff Not rated
Appearance & Atmosphere of Office Not rated
Handling of Billing & Insurance Not rated
Average Wait Time Not rated

Provider Evaluation

Willingness to Spend Time with You Not rated
Listening Skills
Clear explanations
Trust in Decision Making Not rated
Accuracy of Diagnosis Not rated
Post-Visit Follow-Up Not rated

Comment - “ Dr. Spence is excellent at what ... ”

Dr. Spence is excellent at what he does. Im happy to have him on my health team.

Verified Patient

“Dr. Spence is excellent at what ...”

Dr. Spence is excellent at what he does. Im happy to have him on my health team.

Anonymous 12/02/2025

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Review by Anonymous on November 19, 2025 -

Pulse Heart Institute Cardiology, Cardiothoracic & Vascular Services - Spokane - 910 W 5th Ave. Suite 900

Office & Staff Evaluation

Practice Evaluation

Ease of Getting an Appointment Not rated
Courtesy of Practice Staff Not rated
Appearance & Atmosphere of Office Not rated
Handling of Billing & Insurance Not rated
Average Wait Time Not rated

Provider Evaluation

Willingness to Spend Time with You Not rated
Listening Skills
Clear explanations
Trust in Decision Making Not rated
Accuracy of Diagnosis Not rated
Post-Visit Follow-Up Not rated

Comment - “ Great doctor... ”

Great doctor

Verified Patient

“Great doctor...”

Great doctor

Anonymous 11/19/2025

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Review by Anonymous on November 13, 2025 -

Pulse Heart Institute Cardiology, Cardiothoracic & Vascular Services - Spokane - 910 W 5th Ave. Suite 900

Office & Staff Evaluation

Practice Evaluation

Ease of Getting an Appointment Not rated
Courtesy of Practice Staff Not rated
Appearance & Atmosphere of Office Not rated
Handling of Billing & Insurance Not rated
Average Wait Time Not rated

Provider Evaluation

Willingness to Spend Time with You Not rated
Listening Skills
Clear explanations
Trust in Decision Making Not rated
Accuracy of Diagnosis Not rated
Post-Visit Follow-Up Not rated

Comment - “ Excellent Doctor with warm heart... ”

Excellent Doctor with warm heart and really cares

Verified Patient

“Excellent Doctor with warm heart...”

Excellent Doctor with warm heart and really cares

Anonymous 11/13/2025

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Review by Anonymous on September 26, 2025 -

Pulse Heart Institute Cardiology, Cardiothoracic & Vascular Services - Spokane - 910 W 5th Ave. Suite 900

Office & Staff Evaluation

Practice Evaluation

Ease of Getting an Appointment Not rated
Courtesy of Practice Staff Not rated
Appearance & Atmosphere of Office Not rated
Handling of Billing & Insurance Not rated
Average Wait Time Not rated

Provider Evaluation

Willingness to Spend Time with You Not rated
Listening Skills
Clear explanations
Trust in Decision Making Not rated
Accuracy of Diagnosis Not rated
Post-Visit Follow-Up Not rated

Comment - “ No complaints,i everything very ... ”

No complaints,i everything very good.

Verified Patient

“No complaints,i everything very ...”

No complaints,i everything very good.

Anonymous 09/26/2025

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Review by Anonymous on August 10, 2025 -

Pulse Heart Institute Cardiology, Cardiothoracic & Vascular Services - Spokane - 910 W 5th Ave. Suite 900

Office & Staff Evaluation

Practice Evaluation

Ease of Getting an Appointment Not rated
Courtesy of Practice Staff Not rated
Appearance & Atmosphere of Office Not rated
Handling of Billing & Insurance Not rated
Average Wait Time Not rated

Provider Evaluation

Willingness to Spend Time with You Not rated
Listening Skills
Clear explanations
Trust in Decision Making Not rated
Accuracy of Diagnosis Not rated
Post-Visit Follow-Up Not rated

Comment - “ Dr Spence showed great compassi... ”

Dr Spence showed great compassionate. My father is in hospice and I'd just returned from visiting him and was a bit emotional. Discussed my tests and ways I can continue to stay healthy.

Verified Patient

“Dr Spence showed great compassi...”

Dr Spence showed great compassionate. My father is in hospice and I'd just returned from visiting him and was a bit emotional. Discussed my tests and ways I can continue to stay healthy.

Anonymous 08/10/2025

Office Hours

Internal Medicine Physician - Cardiovascular Disease

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Office & Staff Evaluation Not rated

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Pulse Heart Institute Cardiology, Cardiothoracic & Vascular Services - Spokane

Practice Colleagues

Kacey Sullivan, PA - Physician Assistant

Torrey Vail, PA-C - Physician Assistant

David Bragin-Sanchez, MD - Internal Medicine Physician

Jason Roth, MD - Internal Medicine Physician

Patrick Henley, DO - Internal Medicine Physician

William Bennett, MD - Internal Medicine Physician

Chaudry Sawar, MD - Internal Medicine Physician

Erika Valtinson, PA-C - Physician Assistant

Kristina Goodman, PA-C - Physician Assistant

Angelo Ferraro, MD - Internal Medicine Physician

Procedures & Services

Procedures & Treatments Offered

Commonly Prescribed Medications

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Accepted Insurance