Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2004
NPI: 1114129558
Practice Locations (5)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
914 S SCHEUBER RD
CENTRALIA, WA 985319027
3607362803
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
PACIFIC COUNTY HOSPITAL DISTRICT 2
800 ALDER ST
SOUTH BEND, WA 985864900
3608754502
PACIFIC COUNTY HOSPITAL DISTRICT 2
826 ALDER ST
SOUTH BEND, WA 985864900
3608755526
PACIFIC COUNTY HOSPITAL DISTRICT 2
PO BOX, SUITE 438
SOUTH BEND, WA 985860438
Source: CMS National Downloadable File, September 2026.