Medical school: PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated: 2018
NPI: 1588158166
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
2020 E 29TH AVE, LOWR LEVEL
SPOKANE, WA 992033917
5096269400
Source: CMS National Downloadable File, September 2026.