Graduated: 2008
NPI: 1073754040
Practice Locations (2)
CHELAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
817 COMMERCIAL ST
LEAVENWORTH, WA 988261316
5095483420
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
1201 S MILLER ST
WENATCHEE, WA 988013201
5096622208
Source: CMS National Downloadable File, September 2026.