Graduated: 2021
NPI: 1386253276
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
1700 NE 102ND AVE
PORTLAND, OR 972203804
8008132000
TUALATIN INTERNAL MEDICINE
6485 SW BORLAND RD, SUITE B
TUALATIN, OR 970629762
5032728825
Source: CMS National Downloadable File, September 2026.