Graduated: 2005
NPI: 1508015173
Practice Locations (2)
SWEDISH HEALTH SERVICES
21601 76TH AVE W
EDMONDS, WA 980267507
4256404000
PROVIDENCE HEALTH AND SERVICES WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
3604934083
Source: CMS National Downloadable File, September 2026.