Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2014
NPI: 1912325473
Practice Locations (2)
TRA-MINW P S
2801 ST ANTHONY WAY
PENDLETON, OR 978013800
2538414353
TRA-MINW P S
2502 S UNION AVE
TACOMA, WA 984051328
2538414353
Source: CMS National Downloadable File, September 2026.