Medical school: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1760492102
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
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2400 LANCASTER DR NE
SALEM, OR 973051221
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
5125 SKYLINE RD S
SALEM, OR 973069427
8008132000
Source: CMS National Downloadable File, September 2026.