Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1902898331
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES-WA
101 W 8TH AVE
SPOKANE, WA 992042307
5094743131
PROVIDENCE HEALTH AND SERVICES-WA
62 W 7TH AVE
SPOKANE, WA 992042321
Source: CMS National Downloadable File, September 2026.