Graduated: 1996
NPI: 1902947526
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
125 16TH AVE E
SEATTLE, WA 981125211
2063263000
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
200 15TH AVE E
SEATTLE, WA 981125260
2063263000
Source: CMS National Downloadable File, September 2026.