Graduated: 2011
NPI: 1225311624
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
101 W 8TH AVE
SPOKANE, WA 992042307
Source: CMS National Downloadable File, September 2026.