Graduated: 2003
NPI: 1801988902
Practice Locations (3)
KALISPEL INDIAN COMMUNITY OF THE KALISPEL RESERVATION WASHINGTON
1821 LECLERC RD N
CUSICK, WA 991195015
5094477111
KALISPEL INDIAN COMMUNITY OF THE KALISPEL RESERVATION WASHINGTON
1821 N LECLERC RD
CUSICK, WA 991195015
PEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1
714 W PINE ST
NEWPORT, WA 991569046
5094472441
Source: CMS National Downloadable File, September 2026.