Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1174197784
Practice Locations (2)
DOUGLAS, GRANT, LINCOLN AND OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT
411 FORTUYN RD
GRAND COULEE, WA 991338718
5096331753
PROVIDENCE HEALTH AND SERVICE- WASHINGTON
101 W 8TH AVE
SPOKANE, WA 992042307
5094743131
Source: CMS National Downloadable File, September 2026.