Graduated: 2013
NPI: 1821425869
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
3604934083
PROVIDENCE HEALTH AND SERVICES WASHINGTON
500 LILLY RD NE, SUITE 100
OLYMPIA, WA 985065195
3604138525
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.