Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1997
NPI: 1174581201
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
200 15TH AVE E
SEATTLE, WA 981125260
2063263000
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
201 16TH AVE E
SEATTLE, WA 981125226
2063263000
Source: CMS National Downloadable File, September 2026.