Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1679291371
Practice Locations (2)
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1
714 W PINE ST
Newport, WA 991569046
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1
714 W PINE ST
NEWPORT, WA 991569046
5094472441
Source: CMS National Downloadable File, September 2026.