Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1669673000
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
4855 SW WESTERN AVE
BEAVERTON, OR 970053460
8008132000
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
Source: CMS National Downloadable File, September 2026.