Graduated: 2017
NPI: 1679935001
Practice Locations (3)
MEDSTREAM ANESTHESIA PLLC
415 6TH ST
LEWISTON, ID 835012431
8283985244
TRI-STATE MEMORIAL HOSPITAL
1221 HIGHLAND AVE
CLARKSTON, WA 994032829
5097585511
TRI-STATE MEMORIAL HOSPITAL
PO BOX, SUITE 189
CLARKSTON, WA 994030189
Source: CMS National Downloadable File, September 2026.