Graduated: 1989
NPI: 1639269533
Practice Locations (3)
PRIVIA MEDICAL GROUP WASHINGTON PLLC
905 E D ST
DEER PARK, WA 990065167
5092765005
PRIVIA MEDICAL GROUP WASHINGTON PLLC
309 E FARWELL RD
SPOKANE, WA 992188207
5094749838
PRIVIA MEDICAL GROUP WASHINGTON PLLC
309 E FARWELL RD, SUITE 204
SPOKANE, WA 992188207
5094749838
Source: CMS National Downloadable File, September 2026.