Graduated: 2023
NPI: 1376320077
Practice Locations (2)
THE CORVALLIS CLINIC P C
3680 NW SAMARITAN DR
CORVALLIS, OR 973303737
5417541150
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
1160 WALLACE RD NW
SALEM, OR 973043116
8008132000
Source: CMS National Downloadable File, September 2026.