Graduated: 1995
Also: INTERNAL MEDICINE
NPI: 1407826563
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2400 LANCASTER DR NE
SALEM, OR 973051221
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
5125 SKYLINE RD S
SALEM, OR 973069427
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
890 OAK ST SE
SALEM, OR 973013905
8008132000
Source: CMS National Downloadable File, September 2026.