Graduated: 2019
NPI: 1558041889
Practice Locations (2)
THE VANCOUVER CLINIC INC PS
2529 NE 139TH ST
VANCOUVER, WA 986862719
3608822778
PROFESSIONAL SPORTSCARE AND REHAB OF WEST VIRGINIA LLC
207 S PRINCESS ST, SUITE 3
SHEPHERDSTOWN, WV 254431581
3042718895
Source: CMS National Downloadable File, September 2026.