Graduated: 2017
NPI: 1619324001
Practice Locations (2)
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
201 ALPHA WAY
CLE ELUM, WA 989221045
5096745331
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
603 S CHESTNUT ST
ELLENSBURG, WA 989263875
5099629841
Source: CMS National Downloadable File, September 2026.