Graduated: 2013
NPI: 1336625771
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
3760 PIPER ST, SUITE 1108A
ANCHORAGE, AK 995084683
9072126900
PROVIDENCE HEALTH AND SERVICES WASHINGTON
3760 PIPER ST, SUITE 1108B
ANCHORAGE, AK 995084683
9072126970
Source: CMS National Downloadable File, September 2026.