Graduated: 2011
NPI: 1386925949
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
100 W S AVE
CHEWELAH, WA 991099684
5099358111
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
COLVILLE MEDICAL CENTER PS
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
Source: CMS National Downloadable File, September 2026.