Graduated: 2018
NPI: 1922503366
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 982755457
4253476330
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
1830 BICKFORD AVE, SUITE 211
SNOHOMISH, WA 982901751
3605635900
Source: CMS National Downloadable File, September 2026.