Graduated: 2014
NPI: 1689080343
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
SCOTT AND WHITE CLINIC
100 HILLCREST MED BLVDE
WACO, TX 767128897
2542025800
Source: CMS National Downloadable File, September 2026.