Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2017
NPI: 1437684925
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2400 LANCASTER DR NE
SALEM, OR 973051221
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
890 OAK ST SE
SALEM, OR 973013905
8008132000
Source: CMS National Downloadable File, September 2026.