Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1548206733
Practice Locations (1)
MUCKLESHOOT INDIAN TRIBE
17500 SE 392ND ST, MUCKLESHOOT HEALTH AND WELLNESS CTR
AUBURN, WA 980929705
2539396648
Source: CMS National Downloadable File, September 2026.