Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1710042981
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
1230 7TH AVE
LONGVIEW, WA 986323166
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
7101 NE 137TH AVE
VANCOUVER, WA 986824933
8008132000
Source: CMS National Downloadable File, September 2026.