Medical school: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated: 2018
NPI: 1063904696
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1010 S SCHEUBER RD
CENTRALIA, WA 985318892
3608277966
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1010 S SCHEUBER RD, SUITE 3/4
CENTRALIA, WA 985318892
3608277966
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.