Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2021
NPI: 1144809567
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
4855 SW WESTERN AVE
BEAVERTON, OR 970053460
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
7101 NE 137TH AVE
VANCOUVER, WA 986824933
8008132000
Source: CMS National Downloadable File, September 2026.