Graduated: 2023
NPI: 1124700620
Practice Locations (2)
PUBLIC HOSPITAL DIST NO 1 SKAGIT
211 S 13TH ST
MOUNT VERNON, WA 982744107
3608145900
YAKIMA NEIGHBORHOOD HEALTH SERVICES
12 S 8TH ST
YAKIMA, WA 989013020
5094544143
Source: CMS National Downloadable File, September 2026.