Medical school: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated: 1996
NPI: 1649250945
Practice Locations (2)
PEACEHEALTH
100 E 33RD ST, SUITE 100
VANCOUVER, WA 986632776
3602562000
PEACEHEALTH
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 986643200
3605141734
Source: CMS National Downloadable File, September 2026.