Graduated: 2021
NPI: 1780258855
Practice Locations (2)
COLUMBIA COUNTY HOSPITAL DISTRICT
295 S COLLEGE AVE, SUITE 1
COLLEGE PLACE, WA 993241151
5093822531
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
1025 S 2ND AVE
WALLA WALLA, WA 993624116
5098973000
Source: CMS National Downloadable File, September 2026.