Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2004
NPI: 1073664454
Practice Locations (3)
SEATTLE INDIAN HEALTH BOARD
611 12TH AVE S
Seattle, WA 981442007
SEATTLE INDIAN HEALTH BOARD
611 12TH AVE S
SEATTLE, WA 981441910
SEATTLE INDIAN HEALTH BOARD
611 12TH AVE S
SEATTLE, WA 981442007
2063249360
Source: CMS National Downloadable File, September 2026.