Graduated: 1999
NPI: 1417945528
Practice Locations (6)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
COLVILLE NATION COMMUNITY HEALTH CENTERS
39 SHORT CUT RD
INCHELIUM, WA 991385116
5097227006
COLVILLE NATION COMMUNITY HEALTH CENTERS
39 SHORT CUT RD, PO BOX 290
INCHELIUM, WA 991380290
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
PO BOX
INCHELIUM, WA 991380290
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
PO BOX, 290 39 SHORT CUT RD
INCHELIUM, WA 991380290
COLVILLE NATION COMMUNITY HEALTH CENTERS
PO BOX, SUITE 290
INCHELIUM, WA 991380290
Source: CMS National Downloadable File, September 2026.