Graduated: 2013
NPI: 1497184196
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
105 W 8TH AVE
SPOKANE, WA 992042302
Source: CMS National Downloadable File, September 2026.