Graduated: 2001
NPI: 1710015110
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
9631 N NEVADA ST, SUITE 300
SPOKANE, WA 992181193
5094653919
Source: CMS National Downloadable File, September 2026.