Graduated: 2017
NPI: 1407380884
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
11913 NE 195TH ST
BOTHELL, WA 980113147
4254893174
OPTUM CARE WASHINGTON PLLC
1818 121ST ST SE
EVERETT, WA 982085985
4253041100
Source: CMS National Downloadable File, September 2026.