Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1134477516
Practice Locations (1)
NORTHWEST CENTER FOR SPORTS MEDICINE AND PHYSICAL THERAPY INC
1127 S 2ND AVE, SUITE B
WALLA WALLA, WA 993624118
5092042400
Source: CMS National Downloadable File, September 2026.