Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1995
NPI: 1215934054
Practice Locations (2)
NISQUALLY INDIAN TRIBE
4840 JOURNEY ST SE
OLYMPIA, WA 985136779
3604561557
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.