Graduated: 2021
NPI: 1518612928
Practice Locations (2)
2121 NE 139TH ST, SUITE 100
VANCOUVER, WA 986862319
5035257658
LEGACY SALMON CREEK HOSPITAL
2121 NE 139TH ST, SUITE 120
VANCOUVER, WA 986862316
3604871717
Source: CMS National Downloadable File, September 2026.