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How to Get a Medical Marijuana Card in Spokane, WA

4 min read·Green Wellness Team·April 18, 2026

Spokane is Eastern Washington's largest city, and Green Wellness Spokane Valley is the region's premier medical cannabis evaluation clinic. Whether you're in Spokane proper, Spokane Valley, Liberty Lake, or even considering crossing from Coeur d'Alene (Idaho residents are not eligible, but Washington residents near the border are), our clinic offers same-day written authorizations from licensed Washington State physicians.

Green Wellness Spokane Valley

Our Spokane location is at 323 E 2nd Ave, Suite 201H (the Sugar Maple building). New patient evaluations are $175 and take 30–45 minutes. Same-day appointments are regularly available — book online or call 1-888-885-9949.

View Spokane clinic details →

Why Spokane patients get a medical card

Washington's 37% cannabis excise tax, combined with Spokane County's local sales taxes, means recreational cannabis purchases carry a significant tax burden. Medical cardholders are exempt from these taxes on DOH-compliant products — potentially saving 40–47% per purchase. For patients who use cannabis regularly for chronic pain, PTSD, sleep disorders, or other qualifying conditions, the savings are substantial.

Qualifying conditions in Spokane

Washington State recognizes many qualifying conditions. The most common among Spokane patients include:

  • Chronic pain (back pain, neuropathy, arthritis, fibromyalgia)
  • PTSD — especially relevant for Spokane's significant veteran population
  • Anxiety disorders
  • Cancer and chemotherapy side effects
  • Multiple sclerosis and muscle spasticity
  • Seizure disorders and epilepsy

If you're unsure whether your condition qualifies, book a consultation. Our physicians assess each patient individually and give an honest recommendation.

What to expect at your Spokane evaluation

Arrive at our Spokane Valley office a few minutes early. Bring your Washington State ID and any relevant medical records (optional but helpful). You'll complete a brief intake form, meet with a licensed physician for 30–45 minutes, and — if you qualify — receive your written authorization before you leave. The authorization is valid immediately at any licensed Spokane dispensary.

Telehealth renewals from Eastern Washington

After your initial in-person evaluation, annual renewals can be done via telehealth from anywhere in Washington — including Spokane, Spokane Valley, Pullman, or anywhere else east of the Cascades. Renewal appointments are $140 and take 15–30 minutes.

Book your Spokane evaluation →

Ready to get your medical card?

Same-day appointments. No referral needed. Starting at $175.