Graduated: 1999
NPI: 1689620288
Practice Locations (3)
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
201 ALPHA WAY
CLE ELUM, WA 989221045
5096745331
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
603 S CHESTNUT ST
ELLENSBURG, WA 989263875
5099629841
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
700 E MANITOBA AVE
ELLENSBURG, WA 989263885
Source: CMS National Downloadable File, September 2026.