Graduated: 2004
NPI: 1154470672
Practice Locations (5)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
PACIFIC COUNTY HOSPITAL DISTRICT 2
800 ALDER ST
SOUTH BEND, WA 985864900
3608754502
PACIFIC COUNTY HOSPITAL DISTRICT 2
826 ALDER ST
SOUTH BEND, WA 985864900
3608755526
PACIFIC COUNTY HOSPITAL DISTRICT 2
PO BOX, SUITE 438
SOUTH BEND, WA 985860438
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.