Graduated: 2012
NPI: 1548607252
Practice Locations (3)
PO BOX, SUITE 9
Tillamook, OR 971410009
11105 NE 14TH ST, SUITE 103
VANCOUVER, WA 986844309
5034335727
13607 NE 65TH ST
VANCOUVER, WA 986825838
5034335727
Source: CMS National Downloadable File, September 2026.