Graduated: 2020
NPI: 1043751977
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
7101 NE 137TH AVE
VANCOUVER, WA 986824933
8008132000
COMMUNITY HEALTH OF CENTRAL WASHINGTON
501 S 5TH AVE
YAKIMA, WA 989023550
Source: CMS National Downloadable File, September 2026.