Graduated: 2013
NPI: 1790024362
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
275 BRONSON WAY NE
RENTON, WA 980564030
4252352800
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
200 15TH AVE E
SEATTLE, WA 981125260
2063263000
Source: CMS National Downloadable File, September 2026.