Graduated: 2001
Also: CARDIAC ELECTROPHYSIOLOGY
NPI: 1508020801
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
500 LILLY RD NE, SUITE 100
OLYMPIA, WA 985065195
3604138525
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 2001
Also: CARDIAC ELECTROPHYSIOLOGY
NPI: 1508020801
PROVIDENCE HEALTH AND SERVICES WASHINGTON
500 LILLY RD NE, SUITE 100
OLYMPIA, WA 985065195
3604138525
Source: CMS National Downloadable File, September 2026.