Graduated: 2001
NPI: 1346357464
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
149 LILLY RD NE
OLYMPIA, WA 985065028
3604866772
PROVIDENCE HEALTH AND SERVICES WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
3604934083
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.