Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1053306100
Practice Locations (2)
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
Source: CMS National Downloadable File, September 2026.