Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2013
NPI: 1679912000
Practice Locations (2)
KETAMINE WELLNESS INSTITUTE, LLC
4050 LAKE OTIS PKWY, SUITE 208
ANCHORAGE, AK 995085221
9078850206
ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
4315 DIPLOMACY DR
ANCHORAGE, AK 995085926
9075632662
Source: CMS National Downloadable File, September 2026.