Graduated: 2019
NPI: 1649800426
Practice Locations (2)
11318 BRIDGEPORT WAY SW, SUITE A
LAKEWOOD, WA 984993054
2535333838
GRAYS HARBOR COMMUNITY HOSPITAL
319 E PIONEER AVE
MONTESANO, WA 985634601
3602493300
Source: CMS National Downloadable File, September 2026.