Graduated: 2010
NPI: 1972823664
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
140 SW 146TH ST
BURIEN, WA 981661912
2064332934
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
200 15TH AVE E
SEATTLE, WA 981125260
2063263000
Source: CMS National Downloadable File, September 2026.