Graduated: 1990
NPI: 1083762207
Practice Locations (3)
10805 39TH DR SE
EVERETT, WA 982084002
10805 39TH DR SE
EVERETT, WA 982085428
1809 100TH PLACE SE, SUITE B
EVERETT, WA 982083829
4253571809
Source: CMS National Downloadable File, September 2026.