Graduated: 2025
NPI: 1447188743
Practice Locations (3)
12930 E MANSFIELD AVE
Spokane Valley, WA 992165159
SPOKANE VALLEY, WA 99216
4806987014
12930 E MANSFIELD AVE, APT EE101
SPOKANE VALLEY, WA 992165172
Source: CMS National Downloadable File, September 2026.