Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2013
NPI: 1518306281
Practice Locations (1)
PUBLIC HOSPITAL DIST NO 1 SKAGIT
307 S 13TH ST, SUITE 300
MOUNT VERNON, WA 982744100
3603369757
Source: CMS National Downloadable File, September 2026.