Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2002
NPI: 1801003124
Practice Locations (2)
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
222 TONGASS DR
SITKA, AK 998359416
9079662411
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 986322367
3604142000
Source: CMS National Downloadable File, September 2026.