Graduated: 2012
NPI: 1699024505
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
301 W POPLAR ST
WALLA WALLA, WA 993622800
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
380 CHASE AVE
WALLA WALLA, WA 993622924
5098973333
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
401 W POPLAR ST
WALLA WALLA, WA 993622846
5098973320
Source: CMS National Downloadable File, September 2026.