Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1972577195
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
1017 S 2ND AVE, SUITE 1
WALLA WALLA, WA 993624183
5098973700
PRIVIA MEDICAL GROUP WASHINGTON PLLC
55 W TIETAN ST
WALLA WALLA, WA 993624445
50952537201405
Source: CMS National Downloadable File, September 2026.