Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1998
NPI: 1215924782
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
101 W 8TH AVE, 3RD FLOOR EAST
SPOKANE, WA 992042307
5094742277
Source: CMS National Downloadable File, September 2026.