Graduated: 2023
NPI: 1144009119
Practice Locations (3)
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
390 FOUNDERS WAY
Forks, WA 983319062
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
390 FOUNDERS WAY
FORKS, WA 983319062
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
390 FOUNDERS WAY, BOGACHIEL CLINIC
FORKS, WA 983319062
3603746998
Source: CMS National Downloadable File, September 2026.