Graduated: 2020
NPI: 1457836223
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 970159750
8008132000
HOSPITALIST MEDICINE PHYSICIANS OF WASHINGTON - TCS
4805 NE GLISAN ST
PORTLAND, OR 972132933
5032151111
Source: CMS National Downloadable File, September 2026.