Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 2021
NPI: 1346827011
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
1225 NE 2ND AVE
PORTLAND, OR 972322003
5039448000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.