Providence Adult and Teen Congenital Heart Program (PATCH)

Spokane, WA — (509) 474-6707

There are board certified ACHD physicians at this location.

101 West 8th Avenue
Suite 4300
Spokane, WA 99204
United States

(509) 474-6707
(509) 474-6707
(509) 474-6707
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Providence Sacred Heart Medical Center and Children's Hospital
Adult/Pediatric Hospital
Providence Kadlec Medical Center
Adult/Pediatric Hospital
Providence St. Patrick Hospital
Elson S. Floyd College of Medicine (Washington State University)

Clinic Staffing

Medical Director

Jeremy Nicolarsen, MD Professional ACHA Member
ACHD, IM, IM Card, Peds, Ped Card

4 Additional Cardiologists attend Clinic

Carl Garabedian, MD Professional ACHA Member
ACHD, Ped Card
Steven Fishberger, MD Professional ACHA Member
ACHD, Ped Card, IBHRE-Certified Cardiac Device Specialist and IBHRE-Certified Electrophysiology Specialist - Pediatric
Janice Christensen, MD Professional ACHA Member
Charles Christian Anderson, MD Professional ACHA Member
ACHD, Ped Card, IBHRE-Certified Electrophysiology Specialist - Pediatric

Nursing & Other Staff

Katrina Schneider PA-C
Madeleine Lewis LICSW
Angie Trent RN, BSN
Aidan Cline Practice Manager

Care Setting

Providence Sacred Medical Center and Children's Hospital, Spokane, WA
Valley Medical Center, Lewiston, Idaho
Providence St. Patrick Hospital, International Heart Institute, Missoula MT
Adult/Pediatric Hospital
Pediatric/Adult Hospital
Pediatric/Adult Hospital
Yes - at age 16
Yes, weekly

Training & Research


Satellite Clinics

Data valid at 2019

Director's Description


PATCH is conveniently located in a pediatric cardiology clinic housed within a larger medical center offering comprehensive adult cardiac care. This allows us to provide a seamless transition from pediatric to adult medical care and draw on expertise of providers specializing in both congenital and acquired heart disease. Cardiologists from both departments work closely together to provide the best care possible to our patients.

We serve as the primary center for complex congenital heart disease care and congenital cardiac surgery within the Providence health system and are the only adult congenital heart disease program (ACHD) in the Inland Northwest, with several satellite clinics across the region.

We work closely with our colleagues in maternal fetal medicine to provide care to pregnant patients with all types of heart disease, offer quarterly multidisciplinary clinics in advanced heart failure/ transplant and pulmonary hypertension (attended by specialists in those areas, plus palliative care, and social work), provide teen and young adult transition clinics, and work closely with psychiatry/ psychology to co- host patient support groups and ensure mental health services are available for all - we even offer in- office and virtual counseling.

In addition to our five ACHD- boarded cardiologists and two congenital cardiac surgeons (plus other surgeons with expertise in aorta and arrhythmia surgery as well as transplant), we have an ACHD team that includes an ACHD PA- C, ACHD Nurse Coordinator, Social Worker, and ACHD MA. Four pediatric cardiologists, two pediatric advanced practice providers, an EP nurse, and two pediatric cardiology nurses round out our extended team.

We have a formal transition program for the maturing adolescent with congenital heart disease, participate in multicenter research, and hold educational seminars for patients/families, nurses, and local and regional providers.

We provide 24/7 care for ACHD patients and are involved in the management of our patients undergoing cardiac and non- cardiac procedures and surgeries. We are also building a telehealth network we call ePATCH.

We are nationally recognized as an ACHA ACHD Accredited Comprehensive Care Center – a mark of distinction for ACHD programs that is endorsed by the major cardiology societies.