Graduated: 2010
NPI: 1114167830
Practice Locations (4)
PO BOX
ATLANTA, GA 30374
1100 9TH AVE, M4 PFS
SEATTLE, WA 981012756
800 5TH AVE, SUITE 600
SEATTLE, WA 981043103
PO BOX, SUITE 50095
SEATTLE, WA 981455095
Source: CMS National Downloadable File, September 2026.