Graduated: 2012
NPI: 1538423736
Practice Locations (2)
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
10445 NEAHKAHNIE CREEK RD, ADVENTIST HEALTH
MANZANITA, OR 971300129
5038152260
PUBLIC HOSPITAL DISTRICT 1-A OF WHITMAN COUNTY
825 SE BISHOP BLVD, SUITE 200
PULLMAN, WA 991635537
5093322517
Source: CMS National Downloadable File, September 2026.