Medical school: WASHINGTON COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1998
NPI: 1205891181
Practice Locations (1)
MUCKLESHOOT INDIAN TRIBE
17500 SE 392ND ST, MUCKLESHOOT HEALTH AND WELLNESS CTR
AUBURN, WA 980929705
2539396648
Source: CMS National Downloadable File, September 2026.