Graduated: 2022
NPI: 1578268660
Practice Locations (4)
1 OPTUM CIR
EDEN PRAIRIE, MN 553442956
399 E 10TH AVE
EUGENE, OR 974013380
7515 FALCON CREST DR, SUITE 200
Redmond, OR 977565014
7515 FALCON CREST DR, SUITE 200
REDMOND, OR 977565014
Source: CMS National Downloadable File, September 2026.