Graduated: 2013
NPI: 1235420498
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
16528 E DESMET CT
SPOKANE, WA 992163522
PROVIDENCE HEALTH AND SERVICES WASHINGTON
551 E HAWTHORNE RD
SPOKANE, WA 992181417
5094892369
Source: CMS National Downloadable File, September 2026.