Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1811983562
Practice Locations (1)
DOUGLAS, GRANT, LINCOLN AND OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT
411 FORTUYN RD
GRAND COULEE, WA 991338718
5096331753
Source: CMS National Downloadable File, September 2026.