Graduated: 1996
NPI: 1366421174
Practice Locations (2)
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY
2300 KATI CT
SHELTON, WA 985841926
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY
901 MOUNTAIN VIEW DR
SHELTON, WA 985844401
3604261611
Source: CMS National Downloadable File, September 2026.