Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 1997
NPI: 1619985728
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
401 W POPLAR ST
WALLA WALLA, WA 993622846
5098973320
YAKIMA VALLEY MEMORIAL PHYSICIANS
1470 N 16TH AVE, SUITE D
YAKIMA, WA 989021381
5095746000
Source: CMS National Downloadable File, September 2026.