Graduated: 1986
NPI: 1295933752
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
OREGON ANESTHESIOLOGY GROUP PC
2211 NE 139TH ST
VANCOUVER, WA 986862742
3604871000
Source: CMS National Downloadable File, September 2026.