Graduated: 1993
NPI: 1881729531
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
6002 N LIDGERWOOD ST
SPOKANE, WA 992081124
5094824402
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
9505 S STEELE ST
TACOMA, WA 984441858
2535976800
Source: CMS National Downloadable File, September 2026.