Graduated: 2016
NPI: 1497149454
Practice Locations (3)
NORTHWEST EXTREMITY SPECIALISTS LLC
12400 NW CORNELL RD, SUITE 201
PORTLAND, OR 972295689
5036431737
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
5125 SKYLINE RD S
SALEM, OR 973069427
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.