Medical school: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1013938620
Practice Locations (2)
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 986322367
3606364814
PEACEHEALTH
812 OCEAN BEACH HWY
LONGVIEW, WA 986324082
3605776956
Source: CMS National Downloadable File, September 2026.