Graduated: 2012
NPI: 1245594464
Practice Locations (2)
LEGACY SALMON CREEK HOSPITAL
2211 NE 139TH ST
VANCOUVER, WA 986862742
3604871000
THE VANCOUVER CLINIC INC PS
700 NE 87TH AVE
VANCOUVER, WA 986641913
3608822778
Source: CMS National Downloadable File, September 2026.