Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1295712396
Practice Locations (2)
EVERGREEN RADIA LLC
11521 NE 128TH ST, SUITE 200
KIRKLAND, WA 980344317
4259526100
RADIA INC P S
747 BROADWAY
SEATTLE, WA 981224379
2063866000
Source: CMS National Downloadable File, September 2026.