Graduated: 2023
NPI: 1790569432
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES-WA
101 W 8TH AVE
SPOKANE, WA 992042307
5094743131
PROVIDENCE HEALTH AND SERVICES-WA
62 W 7TH AVE
SPOKANE, WA 992042321
Source: CMS National Downloadable File, September 2026.