Graduated: 2003
NPI: 1649369505
Practice Locations (2)
PRIVIA MEDICAL GROUP WASHINGTON PLLC
320 W WILLOW ST
WALLA WALLA, WA 993622922
5095255010
PRIVIA MEDICAL GROUP WASHINGTON PLLC
55 W TIETAN ST
WALLA WALLA, WA 993624445
50952537201405
Source: CMS National Downloadable File, September 2026.