Graduated: 1996
NPI: 1639149966
Practice Locations (2)
NORTHWEST EMERGENCY PHYSICIANS LLC
520 N 4TH AVE
PASCO, WA 993015257
5095477704
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
401 W POPLAR ST
WALLA WALLA, WA 993622846
5098972500
Source: CMS National Downloadable File, September 2026.