Graduated: 1997
NPI: 1902160559
Practice Locations (2)
PHYSICIANS IMMEDIATE CARE AND MEDICAL CENTERS PS
1225 SE COMMERCIAL DR
COLLEGE PLACE, WA 993249721
5095161101
PRIVIA MEDICAL GROUP WASHINGTON PLLC
55 W TIETAN ST
WALLA WALLA, WA 993624445
50952537201405
Source: CMS National Downloadable File, September 2026.