Graduated: 2006
NPI: 1972700656
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
914 S SCHEUBER RD
CENTRALIA, WA 985319027
3607362803
CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS LLC
3900 CAPITAL MALL DR SW
OLYMPIA, WA 985028654
3607044743
PROVIDENCE HEALTH AND SERVICES WASHINGTON
413 LILLY RD NE
OLYMPIA, WA 985065133
3604934083
Source: CMS National Downloadable File, September 2026.