Medical school: PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated: 2018
NPI: 1144674029
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
5633 N LIDGERWOOD ST, SUITE 1800
SPOKANE, WA 992081295
5092521700
Source: CMS National Downloadable File, September 2026.