Graduated: 2010
NPI: 1093015463
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES-WA
1321 COLBY AVE
EVERETT, WA 982011665
4252613968
PROVIDENCE HEALTH AND SERVICES-WA
900 PACIFIC AVE
EVERETT, WA 982014168
Source: CMS National Downloadable File, September 2026.