Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1578655866
Practice Locations (3)
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1
714 W PINE ST
Newport, WA 991569046
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1
714 W PINE ST
NEWPORT, WA 991569046
5094472441
PROVIDENCE HEALTH AND SERVICES WASHINGTON
624 E FRONT AVE
SPOKANE, WA 992022139
Source: CMS National Downloadable File, September 2026.