Graduated: 2014
NPI: 1538577010
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
4730 COLBY AVE, SUITE 220
EVERETT, WA 982032927
4252976888
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 982755457
4253476330
Source: CMS National Downloadable File, September 2026.