Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2013
NPI: 1801232301
Practice Locations (2)
COLVILLE MEDICAL CENTER PS
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
PROVIDENCE HEALTH AND SERVICES WASHINGTON
421 S DIVISION ST
SPOKANE, WA 992021331
5094742100
Source: CMS National Downloadable File, September 2026.