Graduated: 2014
NPI: 1962809855
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
900 PACIFIC AVE, SUITE 501
EVERETT, WA 982014189
4252587550
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 982755457
4253476330
Source: CMS National Downloadable File, September 2026.