Graduated: 2025
NPI: 1083489868
Practice Locations (3)
18460 E STATE ROUTE 3
ALLYN, WA 985248728
3602285576
23211 SR-3 UNIT C
BELFAIR, WA 985289324
3602285576
2142 W RAILROAD AVE
SHELTON, WA 985847813
3602285576
Source: CMS National Downloadable File, September 2026.