Medical school: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1841290699
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 970159777
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.