Graduated: 2009
NPI: 1750612917
Practice Locations (2)
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 986322367
3606364814
COLUMBIA ANESTHESIA GROUP P S
2211 NE 139TH ST, LEGACY SALMON CREEK HOSPITAL
VANCOUVER, WA 986862742
3604871000
Source: CMS National Downloadable File, September 2026.