Graduated: 2011
NPI: 1154610814
Practice Locations (8)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
OLYMPIA, WA 98502
PROVIDENCE HEALTH AND SERVICES OREGON
OLYMPIA, WA 98502
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
OLYMPIA, WA 98502
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
OLYMPIA, WA 98502
PROVIDENCE MEDICAL INSTITUTE
OLYMPIA, WA 98502
PROVIDENCE HEALTH AND SERVICES MT
OLYMPIA, WA 98502
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
PROVIDENCE HEALTH AND SERVICES WASHINGTON
615 LILLY RD NE, SUITE 220
OLYMPIA, WA 985065137
3604934015
Source: CMS National Downloadable File, September 2026.