Graduated: 2021
NPI: 1942889613
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
1201 E 36TH AVE
ANCHORAGE, AK 995084372
9075629229
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
3760 PIPER ST, SUITE 1108A
ANCHORAGE, AK 995084683
9072126900
Source: CMS National Downloadable File, September 2026.