Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1710932579
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
101 W 8TH AVE
SPOKANE, WA 992042307
PROVIDENCE HEALTH AND SERVICES WASHINGTON
105 W 8TH AVE
SPOKANE, WA 992042318
Source: CMS National Downloadable File, September 2026.