Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1881652139
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1720 COOKS HILL RD
CENTRALIA, WA 985319071
3608278100
PROVIDENCE HEALTH AND SERVICES WASHINGTON
914 S SCHEUBER RD
CENTRALIA, WA 985319027
3607362803
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.