Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1427637123
Practice Locations (4)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
ALTEA MEDICAL OREGON LLC
1250 SE ROBERTS AVE
GRESHAM, OR 970807846
9183921702
ALTEA MEDICAL OREGON LLC
819 NE 122ND AVE
PORTLAND, OR 972302002
9183921702
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.