Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2022
NPI: 1891437216
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
COLVILLE MEDICAL CENTER PS
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
982 E COLUMBIA AVE
COLVILLE, WA 991143316
5096842561
Source: CMS National Downloadable File, September 2026.