Medical school: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated: 2011
NPI: 1477852663
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10060 NE EVERGREEN PKWY
HILLSBORO, OR 971246448
8008132000
Source: CMS National Downloadable File, September 2026.