Graduated: 1995
NPI: 1164452090
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
914 S SCHEUBER RD
CENTRALIA, WA 985319027
3607362803
PROVIDENCE HEALTH AND SERVICES WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
3604934083
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
THE ASSOCIATION OF UNIVERSITY PHYSICIANS
325 9TH AVE
SEATTLE, WA 981042420
2067313000
Source: CMS National Downloadable File, September 2026.