Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1993
Also: INTERNAL MEDICINE
NPI: 1245340033
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
3604934083
Source: CMS National Downloadable File, September 2026.