Graduated: 2007
NPI: 1356623177
Practice Locations (4)
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
2875 NE STUCKI AVE
HILLSBORO, OR 971245806
8008132000
PROVIDENCE HEALTH AND SERVICES OREGON
9205 SW BARNES RD, FL 1
PORTLAND, OR 972256603
5032162906
Source: CMS National Downloadable File, September 2026.