Graduated: 2012
NPI: 1588922082
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
NORTHWEST ACUTE CARE SPECIALISTS PC
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034132200
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.