Medical school: PONCE SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1912090895
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
7101 NE 137TH AVE
VANCOUVER, WA 986824933
8008132000
CRM PHYSICIANS LLC
801 SE PARK CREST AVE
VANCOUVER, WA 986831300
3602602200
Source: CMS National Downloadable File, September 2026.