Graduated: 1987
NPI: 1962513580
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
954 ANDERSON DR, SUITE 102
ABERDEEN, WA 985201001
3605336906
PROVIDENCE HEALTH AND SERVICES WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
3604934083
PROVIDENCE HEALTH AND SERVICES WASHINGTON
525 LILLY RD NE
OLYMPIA, WA 985065101
Source: CMS National Downloadable File, September 2026.