Graduated: 2023
NPI: 1245012111
Practice Locations (3)
WASHINGTON PAC SERVICES PC
4524 INTELCO LOOP SE
LACEY, WA 985035941
3604919890
WA PACS 2 PC
4524 INTELCO LOOP SE
LACEY, WA 985035941
3604919890
CS PACS 3 NORTHWEST LLC
4524 INTELCO LOOP SE
LACEY, WA 985035941
3604919890
Source: CMS National Downloadable File, September 2026.