Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 2016
NPI: 1215384953
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
3550 N INTERSTATE AVE
PORTLAND, OR 972271196
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
7101 NE 137TH AVE
VANCOUVER, WA 986824933
8008132000
Source: CMS National Downloadable File, September 2026.