Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 2003
NPI: 1700912482
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
GOOD SAMARITAN HOSPITAL CORVALLIS
3600 NW SAMARITAN DR
CORVALLIS, OR 973303737
GOOD SAMARITAN HOSPITAL CORVALLIS
3600 NW SAMARITAN DR, SUITE 227
CORVALLIS, OR 973303737
5417681261
Source: CMS National Downloadable File, September 2026.