Graduated: 2017
NPI: 1588199889
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
914 S SCHEUBER RD
CENTRALIA, WA 985319027
3607362803
GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1
600 E MAIN ST
ELMA, WA 985419560
3603462222
Source: CMS National Downloadable File, September 2026.