Graduated: 2000
NPI: 1174516702
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
32 W 2ND AVE
SPOKANE, WA 992013602
5096269825
Source: CMS National Downloadable File, September 2026.