Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1994
NPI: 1821168865
Practice Locations (1)
PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON
1213 24TH ST, SUITE 100
ANACORTES, WA 982212595
3602933101
Source: CMS National Downloadable File, September 2026.