Graduated: 2012
NPI: 1770847139
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
1160 WALLACE RD NW
SALEM, OR 973043116
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2400 LANCASTER DR NE
SALEM, OR 973051221
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
7101 NE 137TH AVE
VANCOUVER, WA 986824933
8008132000
Source: CMS National Downloadable File, September 2026.