Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1932272002
Practice Locations (2)
TRA-MINW P S
2801 ST ANTHONY WAY
PENDLETON, OR 978013800
2538414353
TRA-MINW P S
34515 9TH AVE S
FEDERAL WAY, WA 980036761
2538414353
Source: CMS National Downloadable File, September 2026.