Graduated: 2011
NPI: 1780968883
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
301 S 320TH ST
FEDERAL WAY, WA 980035200
2538747000
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
200 15TH AVE E
SEATTLE, WA 981125260
2063263000
Source: CMS National Downloadable File, September 2026.