Graduated: 2018
NPI: 1225528987
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
1321 COLBY AVE
EVERETT, WA 982011665
4252612000
SOUTH SOUND INPATIENT PHYSICIANS PLLC
407 14TH AVE SE
PUYALLUP, WA 983723770
2536974000
SOUTH SOUND INPATIENT PHYSICIANS PLLC
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 984054234
2534031000
Source: CMS National Downloadable File, September 2026.