Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1985
NPI: 1790994820
Practice Locations (2)
CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION
21 NEIDERMAN RD
OAKVILLE, WA 985688910
3602735504
SKOKOMISH TRIBAL COUNCIL
100 N TRIBAL CTR RD
SKOKOMISH NATION, WA 985849748
36042657552101
Source: CMS National Downloadable File, September 2026.