Graduated: 1999
NPI: 1871503748
Practice Locations (2)
GRANDE RONDE HOSPITAL INC
900 SUNSET DR
LA GRANDE, OR 978501387
5419638421
MEDSTREAM ANESTHESIA PLLC
3810 PLAZA WAY
KENNEWICK, WA 993382722
5092217000
Source: CMS National Downloadable File, September 2026.