Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1982268777
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
5633 N LIDGERWOOD ST
SPOKANE, WA 992081224
5094820111
Source: CMS National Downloadable File, September 2026.