Medical school: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated: 2018
NPI: 1346604675
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
1230 7TH AVE
LONGVIEW, WA 986323166
8008132000
THE VANCOUVER CLINIC INC PS
5515 PIONEER ST
RIDGEFIELD, WA 986423375
3608822778
Source: CMS National Downloadable File, September 2026.