Medical school: NORTH CAROLINA MEDICAL SCHOOL
Graduated: 1990
NPI: 1790745933
Practice Locations (3)
PEACEHEALTH
417 SE 164TH AVE, SUITE 300
VANCOUVER, WA 986848944
3602564425
PEACEHEALTH
505 NE 87TH AVE
VANCOUVER, WA 986641965
PEACEHEALTH
8821 NE 5TH ST
VANCOUVER, WA 986643200
3605141900
Source: CMS National Downloadable File, September 2026.