Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1982
Also: MEDICAL ONCOLOGY
NPI: 1992700611
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
4525 3RD AVE SE, SUITE 200
LACEY, WA 985031010
3607543934
Source: CMS National Downloadable File, September 2026.