Graduated: 2014
NPI: 1366862369
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
212 E CENTRAL AVE
SPOKANE, WA 992086290
PROVIDENCE HEALTH AND SERVICES WASHINGTON
546 N JEFFERSON LN
SPOKANE, WA 992017104
Source: CMS National Downloadable File, September 2026.