Medical school: PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated: 2022
NPI: 1104569417
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 986844098
8008132000
Source: CMS National Downloadable File, September 2026.