Graduated: 2006
NPI: 1134267271
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
MULTICARE HEALTH SYSTEM
4700 POINT FOSDICK DR
GIG HARBOR, WA 983351706
PROVIDENCE HEALTH AND SERVICES WASHINGTON
101 W 8TH AVE
SPOKANE, WA 992042307
Source: CMS National Downloadable File, September 2026.