Graduated: 1989
NPI: 1225140924
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
COLVILLE MEDICAL CENTER PS
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1
10 ROS CIR
REPUBLIC, WA 991665002
5097753245
FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1
36 KLONDIKE RD
REPUBLIC, WA 991669700
Source: CMS National Downloadable File, September 2026.