Graduated: 1994
NPI: 1417261322
Practice Locations (3)
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 986322367
3606364814
PEACEHEALTH
417 SE 164TH AVE, SUITE 300
VANCOUVER, WA 986848944
3602564425
PEACEHEALTH
505 NE 87TH AVE
VANCOUVER, WA 986641965
Source: CMS National Downloadable File, September 2026.