Graduated: 2014
NPI: 1881117372
Practice Locations (3)
NORTH BEND MEDICAL CENTER INC
1900 WOODLAND DR
COOS BAY, OR 974202045
5412675151
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
19185 SW 90TH AVE
TUALATIN, OR 970627558
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.