Graduated: 2014
NPI: 1295149052
Practice Locations (2)
COLUMBIA COUNTY HOSPITAL DISTRICT
1012 S 3RD ST
DAYTON, WA 993281606
5093822531
PRIVIA MEDICAL GROUP WASHINGTON PLLC
55 W TIETAN ST
WALLA WALLA, WA 993624445
50952537201405
Source: CMS National Downloadable File, September 2026.