Medical school: PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated: 2021
NPI: 1053994640
Practice Locations (2)
COLVILLE MEDICAL CENTER PS
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
PROVIDENCE HEALTH AND SERVICES WASHINGTON
840 S MEYERS ST
KETTLE FALLS, WA 991417005
5096857848
Source: CMS National Downloadable File, September 2026.