Medical school: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated: 1990
NPI: 1689687279
Practice Locations (4)
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
ORCHID OAKRIDGE CLINIC PC
47815 HWY 58
OAKRIDGE, OR 974639572
5417828304
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2850 NW NICOLAI ST
PORTLAND, OR 972102018
8008132000
Source: CMS National Downloadable File, September 2026.