Graduated: 1992
NPI: 1194845586
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
217 W CATALDO AVE
SPOKANE, WA 992012217
PROVIDENCE HEALTH AND SERVICES WASHINGTON
13414 E MISSION AVE
SPOKANE VALLEY, WA 992162759
5097476194
Source: CMS National Downloadable File, September 2026.