Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1998
NPI: 1407842487
Practice Locations (8)
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
ROBERTS STREET CLINIC, P.C.
400 NE ROBERTS AVE
GRESHAM, OR 970307464
5036659144
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
5940 ULALI DR NE
KEIZER, OR 973031500
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
3550 N INTERSTATE AVE
PORTLAND, OR 972271196
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
3500 N INTERSTATE AVE
PORTLAND, OR 972271196
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2400 LANCASTER DR NE
SALEM, OR 973051221
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
7101 NE 137TH AVE
VANCOUVER, WA 986824933
8008132000
Source: CMS National Downloadable File, September 2026.