Graduated: 1994
NPI: 1063501534
Practice Locations (2)
PACIFIC NORTHWEST MEDICAL SERVICES PLLC
18012 W VALLEY HWY, SUITE 101
KENT, WA 980322924
4252913300
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
1007 39TH AVE SE
PUYALLUP, WA 983742192
2534353100
Source: CMS National Downloadable File, September 2026.