Graduated: 1995
NPI: 1447357132
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
101 W 8TH AVE
SPOKANE, WA 992042307
PROVIDENCE HEALTH AND SERVICES WASHINGTON
820 S MCCLELLAN ST, SUITE 300
SPOKANE, WA 992042450
5098387100
Source: CMS National Downloadable File, September 2026.