Graduated: 1991
NPI: 1457372294
Practice Locations (4)
KAUAI MEDICAL CLINIC
3-3420 KUHIO HWY, SUITE B
LIHUE, HI 967661098
8082451500
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
11603 STATE AVE, SUITE G
MARYSVILLE, WA 982718465
3606586800
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
19200 N KELSEY ST
MONROE, WA 982721431
3607947994
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 982755457
4253476330
Source: CMS National Downloadable File, September 2026.