Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2013
Offers telehealth
NPI: 1508289521
Practice Locations (2)
1115 SE 164TH AVE DEPT, SUITE 358
Vancouver, WA 986838004
1115 SE 164TH AVE, DEPT 358
VANCOUVER, WA 986838004
Source: CMS National Downloadable File, September 2026.