Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 2014
NPI: 1538508445
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 986844098
8008132000
Source: CMS National Downloadable File, September 2026.