Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1659512333
Practice Locations (2)
140 LAKESIDE AVE, SUITE A
SEATTLE, WA 981226538
4521 49TH AVE S
SEATTLE, WA 981181423
2064660366
Source: CMS National Downloadable File, September 2026.