Graduated: 2002
NPI: 1003966227
Practice Locations (3)
NORTHSTAR ANESTHESIA OF IDAHO PLLC
333 N 18TH AVE, SUITE C
POCATELLO, ID 832013358
2082347800
NORTHSTAR ANESTHESIA OF IDAHO PLLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082391000
UNIVERSITY ANESTHESIOLOGY ASSOCIATES LLC
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034947641
Source: CMS National Downloadable File, September 2026.