Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1265539944
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
212 E CENTRAL AVE
SPOKANE, WA 992086290
PROVIDENCE HEALTH AND SERVICES WASHINGTON
5633 N LIDGERWOOD ST
SPOKANE, WA 992081224
5094820111
Source: CMS National Downloadable File, September 2026.