Graduated: 1987
NPI: 1134171317
Practice Locations (3)
PERMANENTE MEDICAL GROUP INC
1033 3RD ST
SAN RAFAEL, CA 949013107
4154826800
SOUTH SOUND INPATIENT PHYSICIANS PLLC
2520 CHERRY AVE
BREMERTON, WA 983104229
3603773911
SOUTH SOUND INPATIENT PHYSICIANS PLLC
407 14TH AVE SE
PUYALLUP, WA 983723770
2536974000
Source: CMS National Downloadable File, September 2026.