Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1033279849
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1000 S SCHEUBER RD
CENTRALIA, WA 985318877
3603308950
PROVIDENCE HEALTH AND SERVICES WASHINGTON
914 S SCHEUBER RD
CENTRALIA, WA 985319027
3607362803
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.