Medical school: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated: 1985
NPI: 1700857588
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
3604934083
VALLEY MEDICAL GROUP-RENTON
3915 TALBOT RD S, SUITE 401
RENTON, WA 980555738
4256564224
Source: CMS National Downloadable File, September 2026.