Medical school: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated: 2000
Offers telehealth
NPI: 1083808182
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1450 NORTHWEST LN SE, SUITE A
LACEY, WA 985036908
3604914460
Source: CMS National Downloadable File, September 2026.