Graduated: 1996
NPI: 1194958405
Practice Locations (3)
PUBLIC HOSPITAL DISTRICT 3 OF PACIFIC COUNTY
174 1ST AVE N
ILWACO, WA 986249137
3606423181
LEGACY SALMON CREEK HOSPITAL
2211 NE 139TH ST
VANCOUVER, WA 986862742
3604871000
YAKIMA VALLEY MEMORIAL PHYSICIANS
2811 TIETON DR
YAKIMA, WA 989023761
5095758000
Source: CMS National Downloadable File, September 2026.