Graduated: 2013
NPI: 1487091260
Practice Locations (3)
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 986322367
3606364814
PEACEHEALTH
505 NE 87TH AVE
VANCOUVER, WA 986641965
PEACEHEALTH
8821 NE 5TH ST
VANCOUVER, WA 986643200
3605141900
Source: CMS National Downloadable File, September 2026.