Graduated: 2018
NPI: 1114493012
Practice Locations (5)
PROVIDENCE HEALTH AND SERVICES OREGON
113 S HWY 101
WARRENTON, OR 971469314
5038616500
PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY
167 1ST AVE N
ILWACO, WA 986249137
3606426498
PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY
174 1ST AVE N
ILWACO, WA 986249137
3606423181
PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY
176 1ST AVE N
ILWACO, WA 986249137
3606423747
PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY
PO BOX H
ILWACO, WA 98624
Source: CMS National Downloadable File, September 2026.