Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2013
Offers telehealth
NPI: 1265877278
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
2555 MARVIN RD NE
LACEY, WA 985163138
3604134200
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
700 LILLY RD NE
OLYMPIA, WA 985065115
3609237000
Source: CMS National Downloadable File, September 2026.