Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1407953003
Practice Locations (3)
1810 116TH AVE NE
Bellevue, WA 980043058
1810 116TH AVE NE, SUITE 100
BELLEVUE, WA 980043043
4254552275
1810 116TH NE AVE, SUITE 100
BELLEVUE, WA 980043043
Source: CMS National Downloadable File, September 2026.