Graduated: 2017
NPI: 1942631197
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10315 NE TANASBOURNE DR
HILLSBORO, OR 971247836
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.