Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1740204411
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
1025 S 2ND AVE
WALLA WALLA, WA 993624116
5098973000
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
380 CHASE AVE
WALLA WALLA, WA 993622924
5098973333
Source: CMS National Downloadable File, September 2026.