Graduated: 2018
NPI: 1508354010
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
401 W POPLAR ST
WALLA WALLA, WA 993622846
5098973320
WASHINGTON PAC SERVICES PC
92 WAINWRIGHT DR
WALLA WALLA, WA 993623975
5093946800
WA PACS 2 PC
92 WAINWRIGHT DR
WALLA WALLA, WA 993623975
5093946800
Source: CMS National Downloadable File, September 2026.