Graduated: 2003
NPI: 1285645390
Practice Locations (3)
PRIVIA MEDICAL GROUP WASHINGTON PLLC
702 S PARK ST
DEER PARK, WA 990067025
5092629000
PRIVIA MEDICAL GROUP WASHINGTON PLLC
309 E FARWELL RD, SUITE 204
SPOKANE, WA 992188207
5094749838
PRIVIA MEDICAL GROUP WASHINGTON PLLC
55 W TIETAN ST
WALLA WALLA, WA 993624445
50952537201405
Source: CMS National Downloadable File, September 2026.