Graduated: 1998
NPI: 1417978842
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
11511 NE 10TH ST
BELLEVUE, WA 980048578
4255023000
VIRGINIA MASON MEDICAL CENTER
33501 1ST WAY S
FEDERAL WAY, WA 980036208
2538382400
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
200 15TH AVE E
SEATTLE, WA 981125260
2063263000
Source: CMS National Downloadable File, September 2026.