Graduated: 1995
NPI: 1770505919
Practice Locations (4)
TRA-MINW P S
481 AMBERG LN
CHASKA, MN 553184519
2537614200
MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE
481 AMBERG LN
CHASKA, MN 553184519
2537614200
TRA-MINW P S
1304 FAWCETT AVE, SUITE 100
TACOMA, WA 984021905
TRA-MINW P S
3402 S 18TH ST
TACOMA, WA 984051903
2538414353
Source: CMS National Downloadable File, September 2026.