Graduated: 2020
NPI: 1548899156
Practice Locations (3)
SOUND PHYSICIANS OF IDAHO
415 6TH ST
LEWISTON, ID 835012431
2087432511
COGENT HEALTHCARE OF MONTANA P C
2827 FORT MISSOULA RD
MISSOULA, MT 598047408
4067284100
PROVIDENCE HEALTH AND SERVICES WASHINGTON
101 W 8TH AVE
SPOKANE, WA 992042307
5094743131
Source: CMS National Downloadable File, September 2026.