Graduated: 2021
NPI: 1699433458
Practice Locations (2)
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1
2000 S CLOVER DR
MOSES LAKE, WA 988374417
5097655606
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY
901 MOUNTAIN VIEW DR, SUITE 1
SHELTON, WA 985844401
3604273625
Source: CMS National Downloadable File, September 2026.