Graduated: 1992
NPI: 1487754271
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
3604934083
SWEDISH HEALTH SERVICES
747 BROADWAY
SEATTLE, WA 981224379
2063866000
Source: CMS National Downloadable File, September 2026.