Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2020
NPI: 1811525975
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
1007 39TH AVE SE
PUYALLUP, WA 983742192
2534353100
SEATTLE ROOTS COMMUNITY HEALTH
2101 E YESLER WAY, SUITE 150
SEATTLE, WA 981225959
2062991900
Source: CMS National Downloadable File, September 2026.