Graduated: 2002
NPI: 1154473833
Practice Locations (4)
WASHINGTON PAC SERVICES PC
21008 76TH AVE W
EDMONDS, WA 980267104
4257780107
WA PACS 2 PC
21008 76TH AVE W
EDMONDS, WA 980267104
4257780107
CS PACS 3 NORTHWEST LLC
21008 76TH AVE W
EDMONDS, WA 980267104
4257780107
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
200 15TH AVE E
SEATTLE, WA 981125260
2063263000
Source: CMS National Downloadable File, September 2026.