Graduated: 2016
NPI: 1417479429
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
1330 ROCKEFELLER AVE
EVERETT, WA 982011677
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 982755457
4253476330
Source: CMS National Downloadable File, September 2026.