Graduated: 2019
NPI: 1790307957
Practice Locations (2)
KADLEC REGIONAL MEDICAL CENTER
1100 GOETHALS DR, SUITE E
RICHLAND, WA 993523301
5099422986
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
380 CHASE AVE
WALLA WALLA, WA 993622924
5098973333
Source: CMS National Downloadable File, September 2026.