Medical school: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1235245218
Practice Locations (5)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
12100 SE STEVENS CT, SUITE 106
PORTLAND, OR 970864707
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
3600 N INTERSTATE AVE
PORTLAND, OR 972271106
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
3620 N INTERSTATE AVE
PORTLAND, OR 972271106
8008132000
Source: CMS National Downloadable File, September 2026.