Graduated: 2014
NPI: 1811392301
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10060 NE EVERGREEN PKWY
HILLSBORO, OR 971246448
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.