Graduated: 2012
NPI: 1013355411
Practice Locations (2)
STANFORD HEALTH CARE
300 PASTEUR DR
STANFORD, CA 943052200
6507234000
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
1321 COLBY AVE
EVERETT, WA 982011665
4252612000
Source: CMS National Downloadable File, September 2026.