Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1316407968
Practice Locations (3)
1800 BOYLSTON AVE, APT 203
SEATTLE, WA 981222278
850 REPUBLICAN ST, BOX 358047
SEATTLE, WA 981094725
PO BOX, SUITE 5299
TACOMA, WA 98415
Source: CMS National Downloadable File, September 2026.