Medical school: LAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated: 2021
NPI: 1619556719
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
Source: CMS National Downloadable File, September 2026.