Graduated: 2011
NPI: 1770029456
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.