Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2005
NPI: 1376705897
Practice Locations (5)
SOUTH GILLIAM COUNTY HEALTH DIST
PO BOX
CONDON, OR 97823
SOUTH GILLIAM COUNTY HEALTH DIST
PO BOX, SUITE 597
CONDON, OR 97823
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
PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON
211 NE SKYLINE DR
WHITE SALMON, WA 986721948
5094931101
Source: CMS National Downloadable File, September 2026.