Graduated: 2021
NPI: 1225641855
Practice Locations (3)
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
PROVIDENCE HEALTH AND SERVICES WASHINGTON
16528 E DESMET CT
SPOKANE, WA 992163522
Source: CMS National Downloadable File, September 2026.