Graduated: 1992
NPI: 1295775278
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
5373 E MAIN ST
HILLSBORO, OR 971236447
8008132000
PROVIDENCE HEALTH AND SERVICES OREGON
113 S HWY 101
WARRENTON, OR 971469314
5038616500
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.