Graduated: 1999
Also: GERIATRIC MEDICINE
NPI: 1104146620
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1450 NORTHWEST LN SE, SUITE A
LACEY, WA 985036908
3604914460
CAPITAL MEDICAL CENTER PHYSICIANS LLC
3920 CAPITAL MALL DR SW, SUITE 200
OLYMPIA, WA 985028701
3604597282
Source: CMS National Downloadable File, September 2026.