Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1912017914
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 982755457
4253476330
Source: CMS National Downloadable File, September 2026.