Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2011
NPI: 1811285661
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
931 S MARKET BLVD
CHEHALIS, WA 985323423
3607676300
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.