Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1144296575
Practice Locations (2)
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
100 E JACKSON AVE
ELLENSBURG, WA 989263692
5099338777
OPTUM CARE WASHINGTON PLLC
4420 76TH ST NE
MARYSVILLE, WA 982703726
3606517490
Source: CMS National Downloadable File, September 2026.