Graduated: 2005
NPI: 1659437689
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10163 SE SUNNYSIDE RD, SUITE 490
CLACKAMAS, OR 970155720
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.