Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2004
NPI: 1083751333
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
3175 NE ALOCLEK DR
HILLSBORO, OR 971247135
8008132000
Source: CMS National Downloadable File, September 2026.