Medical school: PACIFIC MEDICAL COLLEGE
Graduated: 1972
NPI: 1265433510
Practice Locations (3)
1339 COMMERCE AVE, SUITE 101
LONGVIEW, WA 986323739
3604254647
240 W MAIN ST
Morton, WA 983569200
240 W MAIN ST
MORTON, WA 983569200
Source: CMS National Downloadable File, September 2026.