Graduated: 2017
NPI: 1023286424
Practice Locations (2)
BENEWAH COMMUNITY HOSPITAL
229 S 7TH ST
ST MARIES, ID 838611803
2082455551
PUBLIC HOSPITAL DISTRICT 1-A OF WHITMAN COUNTY
835 SE BISHOP BLVD
PULLMAN, WA 991635512
5093322541
Source: CMS National Downloadable File, September 2026.