225200000X
Centralia, WA
Specialty
225200000X
Credential
PA-C
NPI
1336424092
1900 Cooks Hill Rd, Centralia, WA 98531
(360) 570-3460Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 225200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 225200000X