Graduated: 1989
NPI: 1770502841
Practice Locations (2)
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
530 BOGACHIEL WAY, FORKS COMM HOSP
FORKS, WA 983319120
3603746271
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
14841 179TH AVE SE, SUITE 140
MONROE, WA 982721127
3607941415
Source: CMS National Downloadable File, September 2026.