Graduated: 1982
NPI: 1306825021
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
101 W 8TH AVE, SUITE 1100
SPOKANE, WA 992042307
5094744060
YAKIMA VALLEY MEMORIAL PHYSICIANS
2811 TIETON DR
YAKIMA, WA 989023761
5095758000
Source: CMS National Downloadable File, September 2026.