Rockwood recognizes the need for continued monitoring and patient education while on anticoagulation therapy. Our focus is on prophylactic care to reduce the likelihood, and prevent development of; deep vein thrombosis, pulmonary embolism, stroke, or other thromboembolic injuries associated with anticoagulation therapy.

Outpatient services include pre and post op instruction for surgical procedures. Other specialty procedures requiring the interruption of therapy are also monitored. Modalities include oral or injection therapies using Warfarin or Low Molecular Weight Heparin dependent upon situational requirement.

Our award-winning clinic, established in 1999, serves to improve the quality of treatment with anticoagulants. The midlevel providers of this clinic are dedicated to the goals of this service.

Patients enrolled in the AMS clinic can expect to:

  • Have INR monitored on a regularly scheduled basis with dose adjustments made as needed.
  • Receive ongoing education relative to proper management of therapeutic goals of therapy.
  • Receive appropriate and timely intervention to minimize or avoid complications associated with anticoagulation therapy.

The AMS providers schedule appointments at satellite clinics a well as the main clinic. An appointment can be made by calling the scheduling center for the appropriate satellite office. Referral is necessary from the referring physician.

Referrals can be faxed to (509) 459-1321.


To schedule an appointment, please call (509) 724-4350.



Cancer and Blood Specialty Center - Downtown

Deaconess Health and Education Center
910 West Fifth Avenue, Suite: 700
Spokane, WA  99204
TEL: (509) 755-5800
FAX: (509) 755-5845
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Cheney Clinic

EWU Student Health Center
19 North Seventh Street
Cheney, WA  99004
TEL: (509) 235-6151
FAX: (509) 744-1717
Map Location

Medical Lake Clinic

725 North Stanley Street, Suite: D
Medical Lake, WA  99022
TEL: (509) 299-5145
FAX: (509) 744-1726
Map Location

North Clinic

9001 North Country Homes Boulevard
Spokane, WA  99218
TEL: (509) 755-5340
FAX: (509) 755-6532
Map Location

Featured Provider


Tatiana Ponomarenko, MSN, ARNP

Tatiana Ponomarenko, MSN, ARNP, anticoagulation management, received her Bachelor of Science in Nursing degree from the Eastern Washington University Intercollegiate Center for Nursing Education in Spokane, Wash., and her Master of Science in Nursing degree from the Washington State University Intercollegiate Center for Nursing Education in Spokane. She received advanced training in anticoagulation therapy management at the University of Southern Indiana in Evansville, Ind., and is certified by the American Academy of Nurse Practitioners.
Learn More about Tatiana Ponomarenko
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