Graduated: 2018
NPI: 1336667914
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
2930 MAPLE ST
EVERETT, WA 982013832
4252611500
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
9505 S STEELE ST
TACOMA, WA 984441858
2535976800
Source: CMS National Downloadable File, September 2026.