Graduated: 2004
NPI: 1003899493
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
16528 E DESMET CT
SPOKANE, WA 992163522
PROVIDENCE HEALTH AND SERVICES WASHINGTON
5633 N LIDGERWOOD ST
SPOKANE, WA 992081224
5094820111
Source: CMS National Downloadable File, September 2026.