Graduated: 1999
NPI: 1902960909
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 984054265
2535963300
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
9505 S STEELE ST
TACOMA, WA 984441858
2535976800
Source: CMS National Downloadable File, September 2026.