Graduated: 2013
Offers telehealth
NPI: 1033525852
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
2555 MARVIN RD NE
LACEY, WA 985163138
3604134200
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY
1812 N 13TH LOOP RD
SHELTON, WA 985842169
3604262653
Source: CMS National Downloadable File, September 2026.