Graduated: 2020
NPI: 1225667421
Practice Locations (3)
CITY OF SEWARD
417 1ST AVE
SEWARD, AK 996640365
9072245205
COUNTY OF VENTURA
300 HILLMONT AVE
VENTURA, CA 930031651
MID-COLUMBIA MEDICAL CENTER
1700 E 19TH ST
THE DALLES, OR 970583317
5412961111
Source: CMS National Downloadable File, September 2026.