Graduated: 2016
NPI: 1184071045
Practice Locations (3)
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 986322367
3606364814
PEACEHEALTH
1660 DELWARE ST
LONGVIEW, WA 986322310
3604142800
PEACEHEALTH
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 986643200
3605141734
Source: CMS National Downloadable File, September 2026.