Medical school: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated: 1997
NPI: 1639198849
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
NORTHWEST SURGICAL SPECIALISTS PC
200 NE MOTHER JOSEPH PL, 110 REBOUND ORTHOPEDICS
VANCOUVER, WA 986643293
3602546161
Source: CMS National Downloadable File, September 2026.