Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1235180696
Practice Locations (2)
PEACEHEALTH
505 NE 87TH AVE
VANCOUVER, WA 986641965
PEACEHEALTH
8821 NE 5TH ST
VANCOUVER, WA 986643200
3605141900
Source: CMS National Downloadable File, September 2026.