Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2014
NPI: 1124445499
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
7101 NE 137TH AVE
VANCOUVER, WA 986824933
8008132000
Source: CMS National Downloadable File, September 2026.