Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 1988
NPI: 1639131386
Practice Locations (2)
DHHS IHS COLVILLE SERVICE UNIT
19 LAKES ST, COLVILLE INDIAN HEALTH CENTER
NESPELEM, WA 991550000
5096342900
OMAK TRIBAL HEALTH CLINIC
617 BENTON ST
OMAK, WA 988419636
5096342992
Source: CMS National Downloadable File, September 2026.