Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1977
NPI: 1699875443
Practice Locations (2)
PACIFIC COUNTY HOSPITAL DISTRICT 2
PO BOX, SUITE 438
SOUTH BEND, WA 98586
PACIFIC COUNTY HOSPITAL DISTRICT 2
PO BOX, SUITE 438
SOUTH BEND, WA 985860438
Source: CMS National Downloadable File, September 2026.