Medical school: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1679569511
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
1700 NE 102ND AVE
PORTLAND, OR 972203804
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.