Graduated: 2012
NPI: 1215290192
Practice Locations (3)
GUAM MEMORIAL HOSPITAL
850 GOV CARLOS G CAMACHO RD
TAMUNING, GU 969133128
6716472552
CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS LLC
3900 CAPITAL MALL DR SW
OLYMPIA, WA 985028654
3607044743
PROVIDENCE HEALTH AND SERVICES WASHINGTON
500 LILLY RD NE, SUITE 204
OLYMPIA, WA 985065197
3604138272
Source: CMS National Downloadable File, September 2026.