Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2009
NPI: 1477796944
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
401 W POPLAR ST
WALLA WALLA, WA 993622846
5098973320
Source: CMS National Downloadable File, September 2026.