Graduated: 2022
NPI: 1487323978
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
1400 POTTERY AVE
PORT ORCHARD, WA 983663711
3608955000
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 984054265
2535963300
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
9505 S STEELE ST
TACOMA, WA 984441858
2535976800
Source: CMS National Downloadable File, September 2026.