Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2021
NPI: 1700466059
Practice Locations (3)
603 S CHESTNUT ST
ELLENSBURG, WA 989263875
PO BOX, SUITE 799
ELLENSBURG, WA 98926
PO BOX, SUITE 5299
TACOMA, WA 98415
Source: CMS National Downloadable File, September 2026.