Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1999
Also: INTERNAL MEDICINE
NPI: 1164523130
Practice Locations (2)
EDMONDS, WA 980205133
2063340589
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.