Graduated: 2022
NPI: 1356075030
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
SAMMAMISH, WA 98075
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
17432 STATE ROUTE 9 SE, SUITE 201
SNOHOMISH, WA 982968451
4254047800
Source: CMS National Downloadable File, September 2026.