Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 2015
NPI: 1932594504
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 970159777
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
7101 NE 137TH AVE
VANCOUVER, WA 986824933
8008132000
Source: CMS National Downloadable File, September 2026.