Graduated: 2013
NPI: 1366876120
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
954 ANDERSON DR, SUITE 102
ABERDEEN, WA 985201001
3605336906
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.