Graduated: 2017
NPI: 1649701020
Practice Locations (2)
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1
1550 S PIONEER WAY
MOSES LAKE, WA 988374613
5097939780
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
1201 S MILLER ST
WENATCHEE, WA 988013201
5096622208
Source: CMS National Downloadable File, September 2026.