Graduated: 2000
Offers telehealth
NPI: 1346290244
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1450 NORTHWEST LN SE, SUITE A
LACEY, WA 985036908
3604914460
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.