Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2005
NPI: 1851589287
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
3175 NE ALOCLEK DR
HILLSBORO, OR 971247135
8008132000
Source: CMS National Downloadable File, September 2026.