Graduated: 2020
NPI: 1992310700
Practice Locations (2)
MAYO CLINIC
200 1ST ST SW
ROCHESTER, MN 559050001
5072842511
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
Source: CMS National Downloadable File, September 2026.