Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1245237262
Practice Locations (2)
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 986322367
3606364814
PEACEHEALTH
1660 DELWARE ST
LONGVIEW, WA 986322310
3604142800
Source: CMS National Downloadable File, September 2026.