Graduated: 2020
NPI: 1316597727
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
2902 164TH ST SW, SUITE E1
LYNNWOOD, WA 980873201
4257417750
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 982755457
4253476330
Source: CMS National Downloadable File, September 2026.