Graduated: 2003
NPI: 1437273034
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
16708 BOTHELL EVERETT HWY, SUITE 201
MILL CREEK, WA 980126345
4254829020
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 982755457
4253476330
Source: CMS National Downloadable File, September 2026.