Medical school: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1780260414
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
UNIVERSITY PROFESSIONAL SERVICES
4411 SW VERMONT ST
PORTLAND, OR 972191020
5034949992
Source: CMS National Downloadable File, September 2026.