Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1977
NPI: 1346206224
Practice Locations (2)
1920 116TH AVE NE
BELLEVUE, WA 980043019
1920 116TH AVE NE, SUITE 202
BELLEVUE, WA 980043019
4254543937127
Source: CMS National Downloadable File, September 2026.