Medical school: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated: 2018
NPI: 1306290093
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10060 NE EVERGREEN PKWY
HILLSBORO, OR 971246448
8008132000
Source: CMS National Downloadable File, September 2026.