Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1760725402
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
19185 SW 90TH AVE
TUALATIN, OR 970627558
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.