Graduated: 2007
Offers telehealth
NPI: 1952521775
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES MT
500 W BROADWAY ST
MISSOULA, MT 598024003
PROVIDENCE HEALTH AND SERVICES MT
900 N ORANGE ST
MISSOULA, MT 598022951
PROVIDENCE HEALTH AND SERVICES MT
902 N ORANGE ST
MISSOULA, MT 598022951
PROVIDENCE HEALTH AND SERVICES OREGON
5228 NE HOYT ST, BLDG B
PORTLAND, OR 972133055
5032154860
Source: CMS National Downloadable File, September 2026.