Graduated: 2010
NPI: 1174821730
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
100 W 13TH AVE
EUGENE, OR 974013433
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.