Graduated: 1980
NPI: 1346244043
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
914 S SCHEUBER RD
CENTRALIA, WA 985319027
3607362803
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 986322367
3606364814
SOUTH SOUND INPATIENT PHYSICIANS PLLC
407 14TH AVE SE
PUYALLUP, WA 983723770
2536974000
SOUTH SOUND INPATIENT PHYSICIANS PLLC
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 986643200
3605143727
Source: CMS National Downloadable File, September 2026.