Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1998
NPI: 1184640575
Practice Locations (2)
OPTUM CARE WASHINGTON PLLC
1330 ROCKEFELLER AVE
EVERETT, WA 982011684
4252590966
OPTUM CARE WASHINGTON PLLC
3927 RUCKER AVE
EVERETT, WA 982014833
4252590966
Source: CMS National Downloadable File, September 2026.