Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1073538062
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 984054265
2535963300
YAKIMA VALLEY MEMORIAL PHYSICIANS
2811 TIETON DR
YAKIMA, WA 989023761
5095758000
Source: CMS National Downloadable File, September 2026.