Graduated: 2025
NPI: 1649814658
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
11603 STATE AVE, SUITE G
MARYSVILLE, WA 982718465
3606586800
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 982755457
4253476330
Source: CMS National Downloadable File, September 2026.