Graduated: 1997
NPI: 1114263324
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
700 LILLY RD NE
OLYMPIA, WA 985065115
3609237000
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
9505 S STEELE ST
TACOMA, WA 984441858
2535976800
204 CUSTER WAY SW, SUITE 108
TUMWATER, WA 985013330
3603499000
Source: CMS National Downloadable File, September 2026.