Graduated: 2022
NPI: 1477274041
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
12800 BOTHELL EVERETT HWY
EVERETT, WA 982086642
4253165062
PEACEHEALTH NETWORKS ON DEMAND LLC
2038 NW MARKET ST
SEATTLE, WA 981074012
8646643984
Source: CMS National Downloadable File, September 2026.