Graduated: 2006
NPI: 1184758450
Practice Locations (2)
EAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WESTERN WA
18320 SR 410
BONNEY LAKE, WA 983918787
3608254466
EAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WESTERN WA
1427 JEFFERSON AVE, SUITE 101
ENUMCLAW, WA 980223649
3608254466
Source: CMS National Downloadable File, September 2026.