Graduated: 2008
NPI: 1790168409
Practice Locations (4)
IMPACT PHYSICIAN GROUP LLC
10300 NE HANCOCK ST
PORTLAND, OR 972203831
5032575500
VIBRA PHYSICIANS LLC
10300 NE HANCOCK ST
PORTLAND, OR 972203831
5032575500
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 986322367
3606364814
IMPACT PHYSICIAN GROUP WASHINGTON LLC
2805 NE 129TH ST
VANCOUVER, WA 986863324
3607874092
Source: CMS National Downloadable File, September 2026.