Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
Offers telehealth
NPI: 1285722850
Practice Locations (2)
5108 196TH ST SW, SUITE 102
Lynnwood, WA 980366152
5108 196TH SW ST, SUITE 102
LYNNWOOD, WA 980366152
4257784174
Source: CMS National Downloadable File, September 2026.