Graduated: 2007
NPI: 1144404187
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
2555 MARVIN RD NE
LACEY, WA 985163138
3604134200
PROVIDENCE HEALTH AND SERVICES WASHINGTON
4800 COLLEGE ST SE
LACEY, WA 985034389
3604862900
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1620 COOPER POINT RD SW
OLYMPIA, WA 985025736
3064866710
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.