Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1710240817
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
2020 E 29TH AVE, LOWR LEVEL
SPOKANE, WA 992033917
5096269400
Source: CMS National Downloadable File, September 2026.