Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1989
NPI: 1699850966
Practice Locations (2)
ST JOSEPH HOSPITAL LLC
415 6TH ST
LEWISTON, ID 835012431
2087432511
PEACEHEALTH
3400 MAIN ST
VANCOUVER, WA 986632223
3602562000
Source: CMS National Downloadable File, September 2026.