Graduated: 1996
NPI: 1922057454
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
808 PORT DR
CLARKSTON, WA 994036009
5094558820
PROVIDENCE HEALTH AND SERVICES WASHINGTON
825 SE BISHOP BLVD, SUITE 140
PULLMAN, WA 991635517
5094558820
PUBLIC HOSPITAL DISTRICT 1-A OF WHITMAN COUNTY
835 SE BISHOP BLVD
PULLMAN, WA 991635512
5093322541
PROVIDENCE HEALTH AND SERVICES WASHINGTON
62 W 7TH AVE
SPOKANE, WA 992042321
Source: CMS National Downloadable File, September 2026.