Graduated: 2024
NPI: 1689489049
Practice Locations (2)
DAIYA HEALTHCARE PLLC
10435 SE CORA ST
PORTLAND, OR 972662331
2068231004
IMPACT PHYSICIAN GROUP WASHINGTON LLC
2805 NE 129TH ST
VANCOUVER, WA 986863324
3607874092
Source: CMS National Downloadable File, September 2026.