Graduated: 2003
NPI: 1407041155
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
3604934083
KADLEC REGIONAL MEDICAL CENTER
888 SWIFT BLVD
RICHLAND, WA 993523514
5099464611
Source: CMS National Downloadable File, September 2026.