Graduated: 2025
NPI: 1346960564
Practice Locations (4)
31405 18TH AVE S
Federal Way, WA 980035433
PO BOX
SEATTLE, WA 98124
1901 S UNION AVE BLDG B ST, SUITE 6010
Tacoma, WA 984051896
PO BOX, SUITE 5299
TACOMA, WA 98415
Source: CMS National Downloadable File, September 2026.