Graduated: 2012
NPI: 1821438029
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
931 S MARKET BLVD
CHEHALIS, WA 985323423
3607676300
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
18313 PAULSON ST SW, SUITE A
ROCHESTER, WA 985799262
3608278400
Source: CMS National Downloadable File, September 2026.