Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2004
Offers telehealth
NPI: 1508872540
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
128 LILLY RD NE, SUITE 205
OLYMPIA, WA 985067400
3067543380
Source: CMS National Downloadable File, September 2026.