Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
Offers telehealth
NPI: 1093820797
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1800 COOKS HILL RD, SUITE K
CENTRALIA, WA 985319162
8668055755
PROVIDENCE HEALTH AND SERVICES WASHINGTON
914 S SCHEUBER RD
CENTRALIA, WA 985319027
3607362803
PROVIDENCE HEALTH AND SERVICES WASHINGTON
4800 COLLEGE ST SE
LACEY, WA 985034389
3604862900
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.