Graduated: 2018
NPI: 1629546882
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
825 SE BISHOP BLVD, SUITE 140
PULLMAN, WA 991635517
5094558820
PROVIDENCE HEALTH AND SERVICES WASHINGTON
62 W 7TH AVE
SPOKANE, WA 992042321
Source: CMS National Downloadable File, September 2026.