Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1043313935
Practice Locations (2)
2747 PACIFIC AVE, SUITE B 19
OLYMPIA, WA 985012094
2747 PACIFIC AVE SE, SUITE B19
OLYMPIA, WA 985012094
3602196803
Source: CMS National Downloadable File, September 2026.