Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1275538134
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICE- WASHINGTON
101 W 8TH AVE
SPOKANE, WA 992042307
5094743131
PROVIDENCE HEALTH AND SERVICE- WASHINGTON
401 W POPLAR ST
WALLA WALLA, WA 993622846
5098973320
Source: CMS National Downloadable File, September 2026.