Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1992757264
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
4855 SW WESTERN AVE
BEAVERTON, OR 970053460
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.