Graduated: 2011
NPI: 1912297011
Practice Locations (3)
COLUMBIA LUTHERAN CHARITIES
2111 EXCHANGE ST
ASTORIA, OR 971033329
5033254321
WILLAMETTE VALLEY CLINICS LLC
2700 SE STRATUS AVE
MCMINNVILLE, OR 971286255
5034356441
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.