Graduated: 2021
NPI: 1962162784
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
PROVIDENCE HEALTH AND SERVICES WASHINGTON
212 E CENTRAL AVE
SPOKANE, WA 992086290
Source: CMS National Downloadable File, September 2026.