Graduated: 1995
NPI: 1124157078
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
1400 POTTERY AVE
PORT ORCHARD, WA 983663711
3608955000
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
10452 SILVERDALE WAY NW
SILVERDALE, WA 983839411
3603077300
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
9505 S STEELE ST
TACOMA, WA 984441858
2535976800
Source: CMS National Downloadable File, September 2026.