Graduated: 2023
NPI: 1194434993
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
GRANDE RONDE HOSPITAL INC
900 SUNSET DR
LA GRANDE, OR 978501387
5419638421
MEDSTREAM ANESTHESIA PLLC
3810 PLAZA WAY
KENNEWICK, WA 993382722
5092217000
Source: CMS National Downloadable File, September 2026.