Graduated: 1994
NPI: 1457336158
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
1025 S 2ND AVE
WALLA WALLA, WA 993624116
5098973000
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
380 CHASE AVE
WALLA WALLA, WA 993622924
5098973333
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
401 W POPLAR ST
WALLA WALLA, WA 993622846
5098973320
Source: CMS National Downloadable File, September 2026.