Graduated: 2007
NPI: 1568647626
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
26004 104TH AVE SE, SUITE 101
KENT, WA 980307677
4252514050
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
200 15TH AVE E
SEATTLE, WA 981125260
2063263000
Source: CMS National Downloadable File, September 2026.