Graduated: 1984
NPI: 1063403897
Practice Locations (2)
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
310 S ROOSEVELT ST
GOLDENDALE, WA 986209201
5094862151
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
317 SANDERS WAY
GOLDENDALE, WA 986209059
5097734017
Source: CMS National Downloadable File, September 2026.