Graduated: 2021
NPI: 1871114306
Practice Locations (2)
SKY LAKES MEDICAL CENTER INC
2821 DAGGETT AVE, SUITE 100
KLAMATH FALLS, OR 976011106
5412746733
THE VANCOUVER CLINIC INC PS
2529 NE 139TH ST
VANCOUVER, WA 986862719
3608822778
Source: CMS National Downloadable File, September 2026.