Graduated: 2013
NPI: 1538110911
Practice Locations (4)
INDIGO IDAHO SERVICES, LLC
2836 N RAMSEY RD
COEUR D ALENE, ID 838159002
2084823400
PROVIDENCE HEALTH AND SERVICES - WA
500 E WEBSTER AVE
CHEWELAH, WA 991099523
5099358211
PUBLIC HOSPITAL DISTRICT NO 3 OF WHITMAN COUNTY
1200 W FAIRVIEW ST
COLFAX, WA 991119552
5093973435
LINCOLN COUNTY HOSPITAL DISTRICT 3
10 NICHOLLS ST
DAVENPORT, WA 991229729
Source: CMS National Downloadable File, September 2026.