Graduated: 2023
NPI: 1285352393
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
500 LILLY RD NE, SUITE 100
OLYMPIA, WA 985065195
3604138525
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.