Graduated: 2001
NPI: 1639183452
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
4301 S PINE ST, SUITE 301
TACOMA, WA 984097206
2534766500
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
9505 S STEELE ST
TACOMA, WA 984441858
2535976800
Source: CMS National Downloadable File, September 2026.