Graduated: 2020
NPI: 1316515943
Practice Locations (2)
STERLING PROVIDER GROUP
2201 THAIN GRADE
LEWISTON, ID 835014118
2087173100
PUBLIC HOSPITAL DISTRICT NO 3 OF WHITMAN COUNTY
1200 W FAIRVIEW ST
COLFAX, WA 991119552
5093973435
Source: CMS National Downloadable File, September 2026.