Graduated: 1998
NPI: 1245428168
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
931 S MARKET BLVD
CHEHALIS, WA 985323423
3607676300
PROVIDENCE HEALTH AND SERVICES WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
3604934083
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.