Graduated: 2019
NPI: 1710537667
Practice Locations (2)
NORTHWEST SPINE AND PAIN MEDICINE PLLC
509 W HANLEY AVE, SUITE 101
COEUR D ALENE, ID 838158994
5094646208
NORTHWEST SPINE AND PAIN MEDICINE PLLC
3124 S REGAL ST
SPOKANE, WA 992234733
5094646208
Source: CMS National Downloadable File, September 2026.