Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1997
NPI: 1104820570
Practice Locations (2)
PO BOX, SUITE 5127
Everett, WA 982065127
PO BOX, SUITE 5127
EVERETT, WA 98206
Source: CMS National Downloadable File, September 2026.