Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1063559680
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
310 15TH AVE E
SEATTLE, WA 981125103
2063263867
Source: CMS National Downloadable File, September 2026.