Medical school: PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated: 2022
NPI: 1093453581
Practice Locations (2)
KOOTENAI HEALTH INC
1919 LINCOLN WAY, SUITE 315
COEUR D ALENE, ID 838142527
2086256000
CLEARWATER VALLEY HOSPITAL AND CLINICS
301 CEDAR ST
OROFINO, ID 835449029
2084765777
Source: CMS National Downloadable File, September 2026.