Graduated: 2006
NPI: 1194375758
Practice Locations (2)
PACIFIC COUNTY HOSPITAL DISTRICT 2
800 ALDER ST
SOUTH BEND, WA 985864900
3608754502
PACIFIC COUNTY HOSPITAL DISTRICT 2
826 ALDER ST
SOUTH BEND, WA 985864900
3608755526
Source: CMS National Downloadable File, September 2026.