Graduated: 2021
NPI: 1790266609
Practice Locations (2)
COWLITZ FAMILY HEALTH CENTER
1057 12TH AVE
LONGVIEW, WA 986322509
3606363892
THE VANCOUVER CLINIC INC PS
2525 NE 139TH ST
VANCOUVER, WA 986862719
3608822778
Source: CMS National Downloadable File, September 2026.