Graduated: 2019
NPI: 1972153542
Practice Locations (3)
PO BOX, SUITE 290609
NASHVILLE, TN 37229
12040 NE 128TH ST
KIRKLAND, WA 980343013
12123 91ST AVE CT E
PUYALLUP, WA 983737904
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 2019
NPI: 1972153542
PO BOX, SUITE 290609
NASHVILLE, TN 37229
12040 NE 128TH ST
KIRKLAND, WA 980343013
12123 91ST AVE CT E
PUYALLUP, WA 983737904
Source: CMS National Downloadable File, September 2026.