Medical school: WASHINGTON STATE UNIVERSITY ELSON S FLOYD COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1821679036
Practice Locations (2)
GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1
2000 S CLOVER DR
MOSES LAKE, WA 988374417
5097655606
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
3604937230
Source: CMS National Downloadable File, September 2026.