Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 2021
NPI: 1174187892
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
1700 NE 102ND AVE
PORTLAND, OR 972203804
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.