Graduated: 2020
NPI: 1336759679
Practice Locations (2)
ANESTHESIA ASSOCIATES OF COEUR D ALENE PLLC
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
2086256400
COLUMBIA LUTHERAN CHARITIES
2111 EXCHANGE ST
ASTORIA, OR 971033329
5033254321
Source: CMS National Downloadable File, September 2026.