Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2003
NPI: 1760521579
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1000 S SCHEUBER RD
CENTRALIA, WA 985318877
3603308950
PROVIDENCE HEALTH AND SERVICES WASHINGTON
914 S SCHEUBER RD
CENTRALIA, WA 985319027
3607362803
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.