Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2010
NPI: 1588980429
Practice Locations (1)
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
310 S ROOSEVELT ST
GOLDENDALE, WA 986209201
5094862151
Source: CMS National Downloadable File, September 2026.