Graduated: 2010
NPI: 1104134089
Practice Locations (3)
CATALYST MEDICAL GROUP PLLC
2315 8TH ST
LEWISTON, ID 835017301
2087461383
COLUMBIA LUTHERAN CHARITIES
1639 SE ENSIGN LN
WARRENTON, OR 971467308
5033384500
COLUMBIA LUTHERAN CHARITIES
1639 SE ENSIGN LN, SUITE B103
WARRENTON, OR 971467308
5033384500
Source: CMS National Downloadable File, September 2026.