Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2003
Offers telehealth
NPI: 1740355403
Practice Locations (6)
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
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
PORTLAND, OR 97230
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
203 SE PARK PLAZA DR, SUITE 140
VANCOUVER, WA 986845887
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
7101 NE 137TH AVE
VANCOUVER, WA 986824933
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
9120 NE VANCOUVER MALL DR, SUITE 160
VANCOUVER, WA 986629401
8008132000
Source: CMS National Downloadable File, September 2026.