Graduated: 1997
NPI: 1740290642
Practice Locations (2)
PUBLIC HOSPITAL DISTRICT 1-A OF WHITMAN COUNTY
2500 W A ST, SUITE 201
MOSCOW, ID 838436000
2083322828
PUBLIC HOSPITAL DISTRICT 1-A OF WHITMAN COUNTY
825 SE BISHOP BLVD, SUITE 120
PULLMAN, WA 991635517
5093322828
Source: CMS National Downloadable File, September 2026.