Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1972
Offers telehealth
NPI: 1174553036
Practice Locations (2)
4033 E MADISON ST, SUITE 105
Seattle, WA 981123104
4033 E MADISON ST, SUITE 105
SEATTLE, WA 981123104
2063288477
Source: CMS National Downloadable File, September 2026.