Graduated: 2015
NPI: 1740676998
Practice Locations (2)
PRO SPORT ORTHOPEDICS LLC
5160 BORGEN BLVD, SUITE 101
GIG HARBOR, WA 983328809
2538534000
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
10452 SILVERDALE WAY NW
SILVERDALE, WA 983839411
3603077300
Source: CMS National Downloadable File, September 2026.