Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 2003
Offers telehealth
NPI: 1245545854
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
2555 MARVIN RD NE
LACEY, WA 985163138
3604134200
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.