Medical school: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated: 2005
NPI: 1073606117
Practice Locations (2)
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 986322367
3606364814
PEACEHEALTH
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 986643200
3602562000
Source: CMS National Downloadable File, September 2026.