Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2011
NPI: 1063702611
Practice Locations (4)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 970159777
8008132000
REGENERATIVE ORTHOPEDIC CENTER LLC
7401 SW WASHO CT, SUITE 100
TUALATIN, OR 970628342
5036560836
Source: CMS National Downloadable File, September 2026.