Graduated: 2001
NPI: 1265489892
Practice Locations (2)
KOOTENAI HEALTH INC
1055 RIVERSIDE AVE
OROFINO, ID 835449029
2084765777
KOOTENAI HEALTH INC
423 N 3RD AVE, SUITE 355
SANDPOINT, ID 838641511
2082632505
Source: CMS National Downloadable File, September 2026.