Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1558478255
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.