Graduated: 1999
NPI: 1255343141
Practice Locations (2)
FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1
10 ROS CIR
REPUBLIC, WA 991665002
5097753245
FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1
36 KLONDIKE RD
REPUBLIC, WA 991669700
Source: CMS National Downloadable File, September 2026.