Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1987
Offers telehealth
NPI: 1467478164
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
2250 S WOODWORTH LOOP, SUITE 202
PALMER, AK 996457457
9077615800
Source: CMS National Downloadable File, September 2026.