Graduated: 2025
NPI: 1700536216
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICE- WASHINGTON
101 W 8TH AVE
SPOKANE, WA 992042307
5094743131
PROVIDENCE HEALTH AND SERVICE- WASHINGTON
5633 N LIDGERWOOD ST
SPOKANE, WA 992081224
5094820111
Source: CMS National Downloadable File, September 2026.