Graduated: 2014
NPI: 1558748285
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
COLVILLE MEDICAL CENTER PS
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
PROVIDENCE HEALTH AND SERVICES WASHINGTON
840 S MEYERS ST
KETTLE FALLS, WA 991417005
5096857848
Source: CMS National Downloadable File, September 2026.