Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2007
NPI: 1861705865
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
1160 WALLACE RD NW
SALEM, OR 973043116
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2400 LANCASTER DR NE
SALEM, OR 973051221
8008132000
Source: CMS National Downloadable File, September 2026.