Graduated: 2011
NPI: 1679742100
Practice Locations (3)
PEACEHEALTH
2312 NE 129TH ST
VANCOUVER, WA 986863236
3605468000
PEACEHEALTH
2312 NE 129TH ST, SUITE 120
VANCOUVER, WA 986863236
3605468000
PEACEHEALTH
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 986643200
3605141734
Source: CMS National Downloadable File, September 2026.