Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated: 2016
NPI: 1790135069
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
820 S MCCLELLAN ST, SUITE 200
SPOKANE, WA 992042456
5093434306
Source: CMS National Downloadable File, September 2026.