Graduated: 2000
NPI: 1871871616
Practice Locations (2)
FAIRVIEW EXPRESS CARE
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
6126727422
PROVIDENCE HEALTH AND SERVICES WASHINGTON
105 W 8TH AVE, SUITE 150E
SPOKANE, WA 992042302
5092521704
Source: CMS National Downloadable File, September 2026.