Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1225140940
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2400 LANCASTER DR NE
SALEM, OR 973051221
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
890 OAK ST SE
SALEM, OR 973013905
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.