Graduated: 2018
NPI: 1841781937
Practice Locations (2)
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
201 ALPHA WAY
CLE ELUM, WA 989221045
5096745331
YAKIMA NEIGHBORHOOD HEALTH SERVICES
12 S 8TH ST
YAKIMA, WA 989013020
5094544143
Source: CMS National Downloadable File, September 2026.