Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2005
NPI: 1447407689
Practice Locations (3)
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
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
PORTLAND, OR 97230
8008132000
Source: CMS National Downloadable File, September 2026.