Graduated: 2018
NPI: 1205318433
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
19200 N KELSEY ST
MONROE, WA 982721431
3607947994
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 982755457
4253476330
Source: CMS National Downloadable File, September 2026.