PUBLISHED PARTICIPATING AND September SELECT PROVIDER DIRECTORY 2021

THIS DIRECTORY APPLIES TO THE FOLLOWING NETWORKS: CLASSIC, CLASSIC COMPLETE, CLASSIC + DENTAL CHOICE, ADDED CHOICE, ADDED CHOICE + DENTAL CHOICE

KAISER PERMANENTE NORTHWEST REGION

Listed providers are part of Northwest Help in your language If your NWPMG physician decides that you Permanente, P.C., Physicians and Surgeons, or Interpreter services, including American Sign require covered services not available internally Kaiser Foundation Health Plan of the Northwest. Language (ASL), are available during business from an NWPMG physician, he or she may The information in this directory is updated hours at no additional cost to members. Many refer you to an affiliated community physician/ monthly. For the most up-to-date information, of our doctors also speak more than one provider. You must have a written, authorized please visit kp.org or contact Member language. Call 1-800-324-8010 (toll free), or referral from Kaiser Foundation Health Plan of Services at 1-800-813-2000. The availability of 1-800-813-2000 (toll free) or 711 (TTY). the Northwest to receive a covered service from physicians, hospitals, providers, and services an affiliated community physician/provider.* may change. Information about practitioners For specific license information, including is provided to us by the practitioners or is malpractice history and disciplinary actions, you obtained as part of the credentialing process can call the Oregon Medical Board at 971-673- COVID-19 Update: To help ensure the safety of our members, staff, and community, we and is accurate as of the date on the directory. 2700 or the Washington State Department of Health at 360-236-4700. may need to temporarily close or limit in- If you have questions, please call Member person services at some of our medical and Services from 8 a.m. to 6 p.m., Monday through To report provider directory inaccuracies, dental facilities. You can still get the care you Friday, at 1-800-813-2000. For TTY, call 711. please call Member Services at 1-800-813- need, including in-person emergency care, For language interpretation services, call 2000 or go to kp.org/webmanager. e-visits, phone or video visits, and more. 1-800-324-8010. Referrals to affiliated community physicians/ For the most up to date information please visit kp.org/coronavirus. Kaiser Permanente providers complete providers in Oregon and Washington accredited cultural competency training. Affiliated community physicians/providers are Oregon Medicaid members: For information not part of the Northwest Permanente Medical about Ride to Care, call 503-416-3955, toll Group (NWPMG). free at 855-321-4899 or visit ridetocare.com.

* To view or download the Affiliated Provider Directory go to kp.org/directory/nw. If you do not have Internet access or would like a printed copy of our Affiliated Provider Directory, please call Member All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. Services from 8 a.m. to 6 p.m., Monday through Friday, at 1-800-813-2000. For TTY, call 711. For 500 NE Multnomah St., Suite 100, Portland, OR 97232. language interpretation services, call 1-800-324-8010. 19414_09-21 Accessibility of medical offices and medical Telehealth/Telemedicine Appointment Options centers in this directory All Kaiser Permanente facilities are accessible CARE, ANYWHERE. to members. Save time, stay comfortable, and get urgent, primary, and specialty care via phone or video — from home, work, or anywhere else on your camera-equipped computer, tablet, For members enrolled through the Federal or smartphone. Employees Health Benefits (FEHB) program Phone and video visits are great for minor health conditions and follow-up care. It is important to know that when you enroll in this Plan, services are provided Phone through the Plan’s delivery system as described in the Plan’s federal brochure, Get care by phone 24/7, or schedule a phone appointment with your provider. but the continued participation of any one doctor, hospital, or other provider cannot Video be guaranteed. Meet face-to-face with a provider online by computer, smartphone, or tablet. All NWPMG physicians/providers speak English. If a provider speaks Connect for Care Anywhere another language, it is included in the Schedule a phone or video visit today by going to kp.org/getcare or calling following pages. 1-800-813-2000 (TTY 711). Mobile users, download the Kaiser Permanente app on your tablet or smartphone to get started. For technical support, call 1-844-800-0826.

E-Visits Now offering online medical consultations on kp.org. If you have a nonurgent medical condition at any time and you’re not sure what kind of care you need, an e-visit may be a good option for you. An e-visit is an online medical consultation with a Kaiser Permanente advice nurse that’s available at no cost for select medical conditions such as nausea/vomiting, pink eye, female UTI, sore throat, sinus issues, constipation, and diarrhea. Provider selection criteria Tiered network criteria Kaiser Foundation Health Plan of the Northwest (KFHPNW) offers Kaiser Foundation Health Plan of the Northwest offers three tiered several networks that are comprised of the Kaiser Permanente networks including Added Choice, Added Choice + Dental Choice, integrated health care delivery system. The primary contracted and PPO Plus. The primary contracted provider groups and facilities provider groups and facilities that participate include: Northwest that participate in Tier 1 include: Northwest Permanente, P.C., Permanente, P.C., Physicians and Surgeons, facilities owned Physicians and Surgeons, facilities owned and operated by Kaiser and operated by Kaiser Foundation Hospitals (hospitals, Kaiser Foundation Health Plan (Kaiser Permanente Medical Offices and Permanente medical offices, Kaiser Permanente pharmacies), Pharmacies), Kaiser Foundation Hospitals (hospitals), The Portland The Portland Clinic, The CHP Group, and contracted hospitals. In Clinic, and contracted hospitals. general, the networks contain physicians, specialists and facilities to The Added Choice and Added Choice + Dental Choice networks are provide services to individuals and groups covered under all Kaiser comprised of the Kaiser Permanente integrated health care delivery Permanente plans. system (as described above) and The CHP Group for Tier 1, and First Prior to allowing network participation, providers must successfully Choice Health PPO Network (or First Health Network for members complete the initial credentialing process and demonstrate their in states other than OR, WA, ID, MT, WY, ND, SD and AK) for Tier 2. ongoing ability to meet credentialing standards through a re- The Added Choice networks are designed to allow members access credentialing process. Providers are required to provide the to all that Kaiser Permanente offers plus the option to seek care from information needed to review and verify their credentials. To ensure providers outside our network. Tier 1 providers can be located on quality and safety of care between re-credentialing cycles, Kaiser kp.org and chpgroup.com. Tier 2 providers can be located at Permanente performs ongoing monitoring of the participating kp.org/addedchoice. Non-participating providers and facilities are provider’s performance. Kaiser Permanente acts on important quality Tier 3 providers. or safety issues in a timely manner by taking appropriate action To verify board certification for an individual practitioner, please visit against a participating provider when occurrences of poor quality the American Board of Medical Specialties (http://www.abms.org/ are identified. member-boards/specialty-subspecialty-certificates/), the American We also monitor and analyze member feedback relating to network Medical Association (https://www.ama-assn.org/), or the American access, availability of providers, and cultural needs and preferences. Osteopathic Association (https://www.osteopathic.org/) websites. This information helps guide our network improvement efforts. Abbreviations of medical titles

ANP Adult Nurse Practitioner DPM Doctor of Podiatric Medicine MSN Master of Science and Nursing

ARNP Advanced Registered FACS Fellow of the American College MSSW Master of Science in Social Nurse Practitioner of Surgeons Work

AuD Doctor of Audiology FNP Family Nurse Practitioner MSW Master of Social Work

BA Bachelor of Arts GNP Geriatric Nurse Practitioner NP Nurse Practitioner

BS Bachelor of Science LAc Licensed Acupuncturist OD Doctor of Optometry

CADC Certified Alcohol and Drug LCSW Licensed Clinical Social Worker PA Physician Assistant Counselor (I, II, III) LMFT Licensed Marriage and PA-C Physician Assistant-Certified CCMHC Certified Clinical Mental Family Therapist Health Counselor PhD Doctor of Philosophy LPC Licensed Professional CDE Certified Diabetes Educator Counselor PMHNP Psychiatric Mental Health Nurse Practitioner CDP Chemical MA Master of Arts Dependency Professional PNP Pediatric Nurse Practitioner MD Medical Doctor CFNP Certified Family PsyD Doctor of Psychology MEd Master of Education Nurse Practitioner RC Registered Counselor CNM Certified Nurse-Midwife MMFT Master of Marriage and Family Therapy RD Registered Dietitian CRNA Certified Registered RN Registered Nurse Nurse Anesthetist MN Master of Nursing MPH Master of Public Health WHCNP Women’s Health Care DO Doctor of Osteopathy Nurse Practitioner MS Master of Science

Participating and Select Providers, Kaiser Permanente, Northwest Region. Primary care provider eligibility indicated in the Accepting New Members column. 19414_09-21 Last updated September 2021. For the most up-to-date information, visit kp.org. Advanced Gastroenterology 2415 NE 134th St Ste 205 Vancouver, WA. 98686 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- American Board of Chinar S Mehta, Gastroenter- side Medical Center; Kaiser May be M Y Internal Medicine Y N MD ology Permanente Westside Medical required (Gastroenterol Center Kaiser Permanente Sunny- National Commission Jaclyn M Gastroenter- side Medical Center; Kaiser May be F Y on Certification of Phys Y Y Thobaben, PA-C ology Permanente Westside Medical required Assis Center American Board of In- Kaiser Permanente Sunny- Gastroenter- ternal Medicine; Amer- side Medical Center; Kaiser May be Qing Yu, MD M Y Y N ology ican Board of Internal Permanente Westside Medical required Medicine (Gastroenterol Center

Battle Ground Medical Offices 720 W Main St Ste 15 Battle Ground, WA. 98604 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Cynthia A Family American Board of Fam- Not F Y None Y N Carlson, MD Medicine ily Medicine required Rachael M Dyer, Family American Board of Fam- Not F Y None Y N MD Medicine ily Medicine required National Commission Krista A Letsch, Family Not F N on Certification of Phys None Y N PA-C Medicine required Assis Damilola E Family American Board of Fam- Not F Y None Y N Olupona, DO Medicine ily Medicine required

Page 1 19414_09-21 Battle Ground Medical Offices 720 W Main St Ste 15 Battle Ground, WA. 98604 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Ann F Lauritsen, Mental Not F Y Not Applicable None Y N LCSW Health required

Beaverton Medical/Dental Offices 4855 SW Western Ave Beaverton, OR. 97005 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Family American Board of Fam- Not Lisa K Aebi, MD F Y None Y Y Medicine ily Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Tovi M Anderson, Family American Board of Fam- Not F Y Permanente Westside Medical Y Y MD Medicine ily Medicine required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- side Medical Center; Kaiser Jennifer L Bass, American Board of Not F N Pediatrics Permanente Westside Medical Y Y MD Pediatrics required Center; OHSU/Doernbecher Childrens Allicia K Beach, Not F Y Optometry Not Applicable None Y Y OD required Mihaela Beloiu, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required Internal American Board of Not Kelly D Block, MD F Y None Y Y Medicine Internal Medicine required Not Chau Bui, OD F Y Optometry Not Applicable None Y Y required

Page 2 19414_09-21 Cynthia D Family American Board of Fam- Not Caraballo-Hunt, F Y None Y Y Medicine ily Medicine required MD Teresa S Chen, Not F Y Optometry Not Applicable None Y Y OD required Not Alise M Chin, OD F Y Optometry Not Applicable None Y N required Hospice/ May be Susan E Cool, OT F Y None Y N Home Health required Michael E Curtin, Hospice/ May be M Y None Y N MS Home Health required Nanette I Curtis, Not F Y Optometry Not Applicable None Y Y OD required Dawn M Damori, Not F Y Optometry Not Applicable None Y Y OD required Kaiser Permanente Sunny- Page Y Dardis, Internal American Board of side Medical Center; Kaiser Not F Y Y Y MD Medicine Internal Medicine Permanente Westside Medical required Center Debra K Davis, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required Hospice/ May be Robin Davis, OT F Y None Y N Home Health required Juan Miguel A Family American Board of Fam- Not M Y None Y Y Dela Cruz, MD Medicine ily Medicine required Danielle Family American Board of Fam- Not F Y None Y Y Desrochers, MD Medicine ily Medicine required Susan B Dimin, Family Not F N None Y N FNP Medicine required Jennifer J Family American Board of Fam- Not F Y None Y Y Donohue, MD Medicine ily Medicine required Gerald A Dunlap, Internal American Board of Not M Y None Y Y MD Medicine Internal Medicine required American Board of Hannah E Preventive Medicine Occupation- Not Edwards, MD, F Y (Occupationa; Amer- None Y Y al Medicine required MPH ican Board of Family Medicine

Page 3 19414_09-21 Danielle L May be F Y Nutrition None Y N Gessford, RD LD required American Board of Not Dia Hazra, MD F Y Pediatrics None Y Y Pediatrics required Jeannine S American Board of Not F Y Pediatrics None Y Y Johnson, MD Pediatrics required American Board of Fam- Neeza H Kamil, Family ily Medicine; American Not F Y None Y Y MD, MPH Medicine Board of Preventive required Medicine (Public Heal Sharon L Kenny, Internal American Board of Not F N None Y Y MD Medicine Internal Medicine required Ramu R Internal American Board of Not M Y None Y Y Kotamarti, MD Medicine Internal Medicine required Not Paul G Krabill, OD M Y Optometry Not Applicable None Y Y required Kaiser Permanente Sunny- side Medical Center; Kaiser Family American Board of Fam- Not Marcy G Lake, DO F Y Permanente Westside Medical Y Y Medicine ily Medicine required Center; Legacy Salmon Creek Medical Center Nicole J Laske, Not F Y Optometry Not Applicable None Y Y OD required Suzette S Not F Y Optometry Not Applicable None Y Y Leonard, OD required Moira B Hospice/ May be F Y None Y N Lieberson, PT Home Health required Jill C Lobingier, Not F Y Optometry Not Applicable None Y Y OD required Ryan D Manns, Family American Board of Fam- Not M Y None Y Y MD Medicine ily Medicine required Lyndsey Family American Board of Fam- Not F N None Y Y McCartney, MD Medicine ily Medicine required American Board of Not Bina Mehta, MD F Y Pediatrics None Y Y Pediatrics required Jennifer E Family American Board of Fam- Not F Y None Y Y Mueller, MD Medicine ily Medicine required

Page 4 19414_09-21 Kaiser Permanente Sunny- Quoc H Nguyen, American Board of side Medical Center; Kaiser Not M Y Pediatrics Y Y DO, MPH Pediatrics Permanente Westside Medical required Center Robert W American Board of Not M N Pediatrics None Y Y Peterson, MD Pediatrics required American Board of Fam- Sharon R Family ily Medicine; American Not F Y None Y Y Peterson, MD Medicine Board of Emergency required Medicine Bichson T Pham, Family American Board of Fam- Not F Y None Y Y DO Medicine ily Medicine required Kaiser Permanente Sunny- Thongphanh Family American Board of Fam- side Medical Center; Kaiser Not M Y Y Y Phanthavady, MD Medicine ily Medicine Permanente Westside Medical required Center Madhu M Potla, Internal American Board of Not F Y None Y Y MD Medicine Internal Medicine required Rachelle L Hospice/ May be F Y None Y N Preston, LCSW Home Health required Internal American Board of Not Anitha Raj, MD F Y None Y Y Medicine Internal Medicine required Shobana Family American Board of Fam- Not F N None Y Y Rajagopal, MD Medicine ily Medicine required Kerry J Family American Board of Fam- Not F N None Y Y Rasmussen, MD Medicine ily Medicine required American Board of John R Reichle, Occupation- Not M Y Preventive Medicine None Y Y MD al Medicine required (Occupationa Alise N Roberson, Not F Y Optometry Not Applicable None Y Y OD required American Board of Not Erin F Ryan, MD F Y Pediatrics None Y Y Pediatrics required Robert J Saldivar, Family American Board of Fam- Not M Y None Y Y MD Medicine ily Medicine required Family American Board of Fam- Not Darbi L Seely, MD F Y None Y Y Medicine ily Medicine required Arfassa Shiferaw, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required

Page 5 19414_09-21 Joshua D Not M Y Optometry Not Applicable None Y Y Shinoda, OD required Hospice/ May be Abigail Silao, PT F Y None Y N Home Health required May be Eileen Sparks, RD F Y Nutrition None Y N required Not Paul M Stasik, OD M Y Optometry Not Applicable None Y Y required Oscar A Stiennon Hospice/ May be M Y None Y N IV, PT Home Health required Brian S Sturgill, Hospice/ May be M Y None Y N MSPT Home Health required American Board of Family Medicine (Sports Cesareo Amadeo Family Not M Y Medicine; Ameri- None Y Y U Tongco II, MD Medicine required can Board of Family Medicine National Commission Susan E Wagner, Family Not F N on Certification of Phys None Y Y PA-C Medicine required Assis Stephen M American Board of Kaiser Permanente Westside Not M Y Pediatrics Y Y Wanta, MD Pediatrics Medical Center required Samuel I Internal American Board of Not M Y None Y Y Wasmann, MD Medicine Internal Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Jonathan D Wildi, Family American Board of Fam- Not M Y Permanente Westside Medical Y Y MD Medicine ily Medicine required Center; Legacy Salmon Creek Medical Center

Page 6 19414_09-21 Beaverton Medical/Dental Offices 4855 SW Western Ave Beaverton, OR. 97005 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Pamela M Addiction Certified Alcohol Drug Not Commodore, F Y None Y N Medicine Counselor III required CADC III Abraham J Mental Not M Y Not Applicable None Y N Reichlin, LCSW Health required

Brookside Medical Center 10180 SE Sunnyside Rd Clackamas, OR. 97015 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- Wren C Mental side Medical Center; Kaiser Not F N Not Applicable Y N Anderson, CSW Health Permanente Westside Medical required Center National Certification Kaiser Permanente Sunny- Commission for Acu- Douglas L Beal, Addiction side Medical Center; Kaiser Not M Y puncture ; American Y N NP Medicine Permanente Westside Medical required Nurses Credentialing Center Center Sharon K Bettis, Addiction Not F N None Y N LPC Medicine required Amber L Black, Mental Not F N None Y N OT Health required Kaiser Permanente Sunny- Jerrod D Boles, Mental side Medical Center; Kaiser Not M N Not Applicable Y N CADC I Health Permanente Westside Medical required Center

Page 7 19414_09-21 Kaiser Permanente Sunny- Anna R Coleman, Addiction side Medical Center; Kaiser Not F N Not Applicable Y N LCSW Medicine Permanente Westside Medical required Center Shane H Cruz, Addiction Certified Alcohol Drug Not M N None Y N LCSW Medicine Counselor I required Kaiser Permanente Sunny- American Board of Psy- Mental side Medical Center; Kaiser Not Sean P Glass, MD M N chiatry and Neurology Y N Health Permanente Westside Medical required (Psychi Center Kaiser Permanente Sunny- American Board of Psy- Debrin P Mental side Medical Center; Kaiser Not F N chiatry and Neurology Y N Goubert, MD Health Permanente Westside Medical required (Psychi Center Kaiser Permanente Sunny- Addiction Counselor Michael D Grant, Addiction side Medical Center; Kaiser Not M N Certification Board of Y N LCSW Medicine Permanente Westside Medical required Oregon Center Jennifer J Grever, Addiction Not F N None Y N CADC II Medicine required Corinna R Hayes, Mental Not F N Not Applicable None Y N LPC Health required Daniel Hazen, Mental Not M N None Y N CADC II Health required Sunny A Hunter, Mental Kaiser Permanente Sunnyside Not F N Not Applicable Y N LPC Health Medical Center required James M Hussey, Mental Not M N Not Applicable None Y N LPC Health required Jenna A Johnson, Mental Kaiser Permanente Sunnyside Not F N Not Applicable Y N LPC Health Medical Center required Kaiser Permanente Sunny- Julie L Lerwick, Mental side Medical Center; Kaiser Not F N Not Applicable Y N PhD Health Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Psy- James M Mol, Mental side Medical Center; Kaiser Not M N chiatry and Neurology Y N PhD Health Permanente Westside Medical required (Clinic Center

Page 8 19414_09-21 Kaiser Permanente Sunny- American Board of Psy- Sonia U Munoz, Mental side Medical Center; Kaiser Not F N chiatry and Neurology Y N MD Health Permanente Westside Medical required (Psychi Center Kaiser Permanente Sunny- Heather R Addiction side Medical Center; Kaiser Not F N Not Applicable Y N Nordeen, LPC Medicine Permanente Westside Medical required Center Kaiser Permanente Sunny- Erin M O’Reilly, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LCSW Health Permanente Westside Medical required Center Timothy J Peters, Mental Not M N Not Applicable None Y N LCSW Health required Amy L Pfunder, Mental Not F N Not Applicable None Y N LICSW Health required Kaiser Permanente Sunny- Katie S Richley, Addiction side Medical Center; Kaiser Not F N Not Applicable Y N LCSW Medicine Permanente Westside Medical required Center Braydon Robbins, Addiction Certified Alcohol Drug Not M N None Y N CADC II Medicine Counselor II required David S Addiction Not Runestrand, M N None Y N Medicine required CADC I Ervin R Siverson, Addiction Kaiser Permanente Sunnyside Not M N Not Applicable Y N LCSW Medicine Medical Center required Kaiser Permanente Sunny- Lindsay A Spina, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LPC Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Elissa L Starks, Addiction National Board for Cer- side Medical Center; Kaiser Not F N Y N CADC I Medicine tified Counselors Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Psy- Christopher M Mental side Medical Center; Kaiser Not M N chiatry and Neurology Y N Starr, MD Health Permanente Westside Medical required (Psychi Center

Page 9 19414_09-21 Kaiser Permanente Sunny- Kimberly M Addiction side Medical Center; Kaiser Not F N Not Applicable Y N Stetson, LPC Medicine Permanente Westside Medical required Center Joseph T Stevens, Addiction Not M N None Y N CADC I Medicine required Kaiser Permanente Sunny- Addiction Counselor Noah C Stroup, Addiction side Medical Center; Kaiser Not M N Certification Board of Y N CADC I Medicine Permanente Westside Medical required Oregon Center Lotus Teegarden, Addiction Not F N Not Applicable None Y N BS Medicine required Maya Trook, Addiction Not F N None Y N CADC I Medicine required Allen R Verelley, Addiction Not M N None Y N CADC I Medicine required Darienne M Veri, Mental Not F N Not Applicable None Y N LPC Health required Cynthia J Veum, Mental Not F N Not Applicable None Y N CADC I Health required Anita S Vinson, Addiction Kaiser Permanente Sunnyside Not F N Not Applicable Y N LPC Medicine Medical Center required Kaiser Permanente Sunny- American Board of Psy- Mental side Medical Center; Kaiser Not Zhenni Wang, MD F N chiatry and Neurology Y N Health Permanente Westside Medical required (Psychi Center Sarah D Watson, Addiction Not F N None Y N QMHA Medicine required Kaiser Permanente Sunny- Ashlee J Addiction side Medical Center; Kaiser Not F N Not Applicable Y N Whitehead, LPC Medicine Permanente Westside Medical required Center Kaiser Permanente Sunny- Miranda J Mental side Medical Center; Kaiser Not F N Not Applicable Y N Whitehead, LMFT Health Permanente Westside Medical required Center William H Addiction Not Williams III, CADC M N None Y N Medicine required I

Page 10 19414_09-21 Cascade Park Medical Offices 12607 SE Mill Plain Blvd Vancouver, WA. 98684 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- Michael S Alberts, General American Board of side Medical Center; Kaiser May be M Y Y N MD, PhD Surgery Surgery Permanente Westside Medical required Center Margie U Family American Board of Fam- Not F Y None Y N Apacible, MD Medicine ily Medicine required American Board of Podi- atric Medicine; Ameri- May be Jana Balas, DPM F Y Podiatry None Y N can Board of Foot and required Ankle Surgery Erika M Barbero, Internal American Board of Not F Y None Y N MD Medicine Internal Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Bennett E Barch, Otolaryngol- American Board of May be M Y Permanente Westside Medical Y N MD ogy Otolaryngology required Center; Legacy Salmon Creek Medical Center Claudene M Sleep May be F Y None Y N Baska, RRT Medicine required Kaiser Permanente Sunny- Pediatric side Medical Center; Kaiser Erica E Benthin, American Board of May be F Y Newborn Permanente Westside Medical Y Y MD Pediatrics required Care Center; Legacy Salmon Creek Medical Center American Board of Kaiser Permanente Sunny- Internal Medicine; Bhavini B Bhavsar, Endocrinol- side Medical Center; Kaiser May be F Y American Board of Y Y MD, MPH ogy Permanente Westside Medical required Internal Medicine Center (Endocrinology Caroline F Family American Nurses Cre- Not F N None Y N Bolzendahl, FNP Medicine dentialing Center required

Page 11 19414_09-21 Kaiser Permanente Sunny- Margaret C General American Board of side Medical Center; Kaiser May be F Y Y Y Bower, MD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Nathan W General American Board of side Medical Center; Kaiser May be M Y Y Y Bronson, MD Surgery Surgery Permanente Westside Medical required Center Not Chau Bui, OD F Y Optometry Not Applicable None Y Y required National Certification Melissa L Not F N Pediatrics Board of Pediatric Nurse None Y N Burchett, CPNP required Pr Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Daniel E Carl, MD M Y Nephrology Internal Medicine Permanente Westside Medical Y N required (Nephrology) Center; Legacy Salmon Creek Medical Center Po-Shen Chang, Family American Board of Fam- PeaceHealth St. John Medical Not M N Y N MD Medicine ily Medicine Center-Longview required Not Alise M Chin, OD F Y Optometry Not Applicable None Y N required American Board of In- ternal Medicine (Critical Kaiser Permanente Sunny- Care; American Board side Medical Center; Kaiser May be Ryan D Clay, MD M Y Pulmonology of Internal Medicine; Permanente Westside Medical Y N required American Board of In- Center; Legacy Salmon Creek ternal Medicine (Pulmo- Medical Center nary Dis Nadia A Davis, Internal American Board of Not F N None Y N MD Medicine Internal Medicine required Heather N De Family American Board of Fam- Not F Y None Y N Jesus, MD Medicine ily Medicine required Amor Y De la Family American Board of Fam- Not F N None Y N Cruz, MD Medicine ily Medicine required American Board of Not Tina L Diehl, OD F Y Optometry None Y N Optometry required Not Huy T Do, OD M Y Optometry Not Applicable None Y Y required

Page 12 19414_09-21 Kaiser Permanente Sunny- National Commission Matthew A General side Medical Center; Kaiser May be M Y on Certification of Phys Y Y Dowell, PA-C Surgery Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- National Commission Corrie A Doyle, General side Medical Center; Kaiser May be F Y on Certification of Phys Y Y PA-C Surgery Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- side Medical Center; Kaiser American Board of Not Carol Y Endo, MD F N Pediatrics Permanente Westside Medical Y N Pediatrics required Center; Legacy Salmon Creek Medical Center American Board of In- Kaiser Permanente Sunny- ternal Medicine; Amer- Matthew J Flynn, side Medical Center; Kaiser May be M Y Pulmonology ican Board of Internal Y Y MD Permanente Westside Medical required Medicine (Pulmonary Center Dis Jeffrey E Ford, Family American Board of Fam- Not M Y None Y N MD Medicine ily Medicine required Jeffrey A Fries, Not M Y Optometry Not Applicable None Y N OD required Beth R Gabbard, Not F Y Optometry Not Applicable None Y N OD required National Commission Joseph J Garcia, Not M Y Pediatrics on Certification of Phys None Y N PA required Assis Joshua B Sleep American Academy of May be M Y None Y N Goldstein, FNP Medicine Nurse Practitioners required Tenzin D Gorab, Family American Academy of Not F N None Y N NP Medicine Nurse Practitioners required Brant A Granger, Family American Board of Fam- Not M Y None Y N DO Medicine ily Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Anna H Grosz, Otolaryngol- American Board of Permanente Westside Medical May be F Y Y Y MD ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University

Page 13 19414_09-21 Not Alice Han, OD F Y Optometry Not Applicable None Y N required Kaiser Permanente Sunny- American Board of Jacob W Heck, side Medical Center; Kaiser May be M Y Podiatry Podiatric Surgery (Foot Y N DPM Permanente Westside Medical required Surgery) Center Kaiser Permanente Sunny- Christine N General American Board of side Medical Center; Kaiser May be F Y Y N Henderson, MD Surgery Surgery Permanente Westside Medical required Center Benjamin D Family American Board of Fam- Not M Y None Y N Herring, MD Medicine ily Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Craig S Hersh, American Board of May be M Y Dermatology Permanente Westside Medical Y N MD Dermatology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Alison B Herson, Family American Board of Fam- side Medical Center; Kaiser Not F N Y N MD Medicine ily Medicine Permanente Westside Medical required Center Family American Board of Fam- Not Vietnam- Minh Q Ho, MD M Y None Y N Medicine ily Medicine required ese Kaiser Permanente Sunny- Otolaryngol- American Board of side Medical Center; Kaiser May be Justin W Holt, MD M Y Y Y ogy Otolaryngology Permanente Westside Medical required Center Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of May be Jeffrey V Hsu, MD M Y Permanente Westside Medical Y Y ogy Otolaryngology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- side Medical Center; Kaiser Sande B Irwin, Otolaryngol- American Board of Permanente Westside Medical May be F Y Y Y MD ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University

Page 14 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of May be Laura D Iuga, MD F Y Permanente Westside Medical Y Y ogy Otolaryngology required Center; Legacy Salmon Creek Medical Center Internal American Board of Not Henry S Juan, MD M Y None Y N Medicine Internal Medicine required Kendra H Not F Y Optometry Not Applicable None Y N Kallemeyn, OD required Kaiser Permanente Sunny- Cara M Katzer, Otolaryngol- American Board of side Medical Center; Kaiser May be F Y Y Y MD ogy OHNS Permanente Westside Medical required Center Kaiser Permanente Sunny- side Medical Center; Kaiser James B Kilway General American Board of May be M Y Permanente Westside Medical Y N II, MD Surgery Surgery required Center; Legacy Salmon Creek Medical Center American Board of Not Boyeong Kim, DO F Y Pediatrics None Y N Pediatrics required Kaiser Permanente Sunny- Charles Y Kim, General American Board of side Medical Center; Kaiser May be M Y Y Y MD Surgery Surgery Permanente Westside Medical required Center Nobuhiko Kira, Family American Board of Fam- Not M Y None Y N MD Medicine ily Medicine required Emily J Klinger, Respiratory May be F Y None Y N CRT Therapy required American Board of Kaiser Permanente Sunny- Psychiatry and Neurolo- Benjamin J Koo, side Medical Center; Kaiser May be M Y Neurology gy (Neurom; American Y N MD Permanente Westside Medical required Board of Psychiatry and Center Neurology (Neurol Kaiser Permanente Sunny- American Board of Totka R Koutzeva- side Medical Center; Kaiser May be F Y Physiatry Physical Medicine/ Y N Dussel, MD Permanente Westside Medical required Rehabilitation Center Not Paul G Krabill, OD M Y Optometry Not Applicable None Y Y required

Page 15 19414_09-21 Natalie A Kulaga, Not F Y Optometry Not Applicable None Y N OD required Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of May be Connie Y Kuo, MD F Y Permanente Westside Medical Y Y ogy Otolaryngology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Michael K Lam, American Board of side Medical Center; Kaiser May be M Y Urology Y N MD Urology Permanente Westside Medical required Center Family American Board of Fam- Not Chau T Le, DO F Y None Y N Medicine ily Medicine required Kaiser Permanente Sunny- Kathryn A Leavitt, Otolaryngol- American Board of side Medical Center; Kaiser May be F Y Y Y MD ogy Otolaryngology Permanente Westside Medical required Center Kaiser Permanente Sunny- Andre R Leger, General American Board of side Medical Center; Kaiser May be M Y Y Y MD Surgery Surgery Permanente Westside Medical required Center Family American Board of Fam- Not Isabel A Lind, MD F N None Spanish Y N Medicine ily Medicine required Kaiser Permanente Sunny- National Commission Samuel C Lopez, side Medical Center; Kaiser May be M Y Orthopedics on Certification of Phys Y N PA-C Permanente Westside Medical required Assis Center Aarti Mahadeva, Not F Y Optometry Not Applicable None Y N OD required American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- Branaven side Medical Center; Kaiser May be M Y Neurology ogy (Neurol; American Y N Mahadeva, MD Permanente Westside Medical required Board of Psychiatry and Center Neurology (Neurom Mellany P Manaig, Internal American Board of Not F Y None Y N MD Medicine Internal Medicine required

Page 16 19414_09-21 American Board of In- ternal Medicine; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser Susan L May be F Y Pulmonology Medicine (Pulmonary Permanente Westside Medical Y Y Mikkelsen, MD required Dis; American Board of Center; Legacy Salmon Creek Internal Medicine (Criti- Medical Center cal Care Lauren M Morr, Not F Y Optometry Not Applicable None Y N OD required Juan E Munoz Family American Board of Fam- Not M Y None Spanish Y N Oca, MD Medicine ily Medicine required Khurram Naqvi, Internal American Board of Not M N None Y N MD Medicine Internal Medicine required American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Joshua H Nelson, May be M Y Nephrology (Nephrology); Ameri- Permanente Westside Medical Y N MD required can Board of Internal Center; Legacy Salmon Creek Medicine Medical Center Kaiser Permanente Sunny- Christine J Olson, General American Board of side Medical Center; Kaiser May be F Y Y Y MD, MPH Surgery Surgery Permanente Westside Medical required Center Damilola E Family American Board of Fam- Not F Y None Y N Olupona, DO Medicine ily Medicine required American Board of Psychiatry and Neurol- Venu G Parachuri, Pediatric Kaiser Permanente Sunnyside May be M Y ogy (Child ; American Y Y MD Neurology Medical Center required Board of Psychiatry and Neurology (Epilep Kaiser Permanente Sunny- National Commission Andrew K Phan, Otolaryngol- side Medical Center; Kaiser May be M Y on Certification of Phys Y Y PA-C ogy Permanente Westside Medical required Assis Center Angie M Family American Board of Fam- Not F Y None Y N Reynolds, MD Medicine ily Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Nicholas A American Board of May be M Y Dermatology Permanente Westside Medical Y N Richmond, MD Dermatology required Center; Legacy Salmon Creek Medical Center

Page 17 19414_09-21 Patrick J Roach, Family American Osteopathic Not M N None Y N DO Medicine Board of Family Practice required Kaiser Permanente Sunny- John M Roberts, General American Board of side Medical Center; Kaiser May be M Y Y N MD Surgery Surgery Permanente Westside Medical required Center Not Laura E Rose, OD F Y Optometry Not Applicable None Y N required Rosario Blanca N Family American Board of Fam- Not F N None Y N Salarzon, MD Medicine ily Medicine required Paurin American Board of Not F Y Pediatrics None Y N Sangpatson, MD Pediatrics required American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- side Medical Center; Kaiser May be Yanan Shang, MD F Y Neurology ogy (Neurol; American Y Y Permanente Westside Medical required Board of Psychiatry and Center Neurology (Epilep Samir M Shehab, American Board of Not M Y Pediatrics OHSU/Doernbecher Childrens Y N MD Pediatrics required Joshua D Not M Y Optometry Not Applicable None Y Y Shinoda, OD required Jeffrey D Shrock, Not M Y Optometry Not Applicable None Y N OD required Kaiser Permanente Sunny- American Board of Jessica A Smith, side Medical Center; Kaiser May be F Y Dermatology Dermatology; American Y N MD Permanente Westside Medical required Board of Dermatology Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Christin N Snyder, Endocrinol- May be F Y Internal Medicine Permanente Westside Medical Y N MD ogy required (Endocrinology Center; Legacy Salmon Creek Medical Center Lydia L Stender, Not F Y Optometry Not Applicable None Y N OD required Scott H Swartz, Family American Academy of Not M N None Y N NP Medicine Nurse Practitioners required Kaiser Permanente Sunny- National Commission Scott A Tabish, General side Medical Center; Kaiser May be M Y on Certification of Phys Y N PA-C Surgery Permanente Westside Medical required Assis Center

Page 18 19414_09-21 American Board of Internal Medicine (Ne- Kaiser Permanente Sunny- phrology); American side Medical Center; Kaiser May be Cynthia Tai, MD F Y Nephrology Y N Board of Internal Medi- Permanente Westside Medical required cine; American Board of Center Internal Medicine Chynna R Tang, Not F Y Optometry Not Applicable None Y Y OD required National Commission Cynthia M Family Not F Y on Certification of Phys None Y N Tauscher, PA-C Medicine required Assis Kaiser Permanente Sunny- National Commission Jaclyn M Gastroenter- side Medical Center; Kaiser May be F Y on Certification of Phys Y Y Thobaben, PA-C ology Permanente Westside Medical required Assis Center American Board of In- ternal Medicine; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser May be Jerry M Tran, MD M Y Pulmonology Medicine (Critical Care; Permanente Westside Medical Y Y required American Board of In- Center; Legacy Salmon Creek ternal Medicine (Pulmo- Medical Center nary Dis Peterson T Tsai, Family American Board of Fam- Not M Y None Y N DO Medicine ily Medicine required National Commission Sally M Waddle, Family Not F N on Certification of Phys None Y N PA-C Medicine required Assis Internal American Board of Not Bei Wang, MD F Y None Y N Medicine Internal Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Jeffery C Wheat, American Board of Permanente Westside Med- May be M Y Urology Y N MD Urology ical Center; Legacy Salmon required Creek Medical Center; Salem Hospital Family American Board of Fam- Not Jill S Williams, MD F Y None Y N Medicine ily Medicine required

Page 19 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Ashley G Winter, American Board of May be F Y Urology Permanente Westside Medical Y N MD Urology required Center; Legacy Salmon Creek Medical Center American Osteopath- Dannielle C Internal Not F Y ic Board of Internal None Y N Woodruff, DO Medicine required Medicine American Board of Kaiser Permanente Sunny- Podiatric Surgery (Re- James A Wright, side Medical Center; Kaiser May be M Y Podiatry construct R; American Y N DPM Permanente Westside Medical required Board of Podiatric Sur- Center gery (Foot Surgery) Family American Board of Fam- Not Yang Ye, MD M Y None Mandarin Y N Medicine ily Medicine required American Board of Internal Medicine James J Yoon, May be M Y Nephrology (Nephrology); Ameri- None Y N MD required can Board of Internal Medicine

Cascade Park Medical Offices 12607 SE Mill Plain Blvd Vancouver, WA. 98684 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid American Osteopathic Jonathan D Bale, Mental Not M Y Board of Neurology and None Y N DO Health required Psychi Victor W Boomer- Addiction Not M Y Not Applicable None Y N Jenks, LCSW Medicine required Kaiser Permanente Sunny- Diane L Cole, Addiction side Medical Center; Kaiser Not F Y Not Applicable Y N LCSW, PhD Medicine Permanente Westside Medical required Center Grant C Crowley, Mental Not M Y Not Applicable None Y N LMFT Health required

Page 20 19414_09-21 Paul D De Baldo Mental American Nurses Cre- Not M Y None Y N Jr, PMHNP Health dentialing Center required Demetrius R Mental Not M Y None Y N Donseroux, LPC Health required Melanie V Eaton, Mental Not F Y None Y N LCSW Health required Kaiser Permanente Sunny- American Board of Psy- Jonathan J Mental side Medical Center; Kaiser Not M N chiatry and Neurology Y N Ebbing, MD Health Permanente Westside Medical required (Psychi Center Marilyn S Mental Not F Y Not Applicable None Y N Eubanks, LPC Health required Nicole M Falk, Mental Not F Y Not Applicable None Y N LMFT Health required Kaiser Permanente Sunny- Christine F Addiction side Medical Center; Kaiser Not F Y Not Applicable Y N Finucane, LCSW Medicine Permanente Westside Medical required Center Jeremy K Mental Not M Y Not Applicable None Y N Gardner, LMFT Health required Robert J Geiger Addiction Not M Y Not Applicable None Y N Jr, CADC III Medicine required Patricia L Harris, Mental Not F Y Not Applicable None Y N PsyD Health required Kaiser Permanente Sunny- American Board of Psy- Gretchen A Hein, Mental side Medical Center; Kaiser Not F Y chiatry and Neurology Y N DO Health Permanente Westside Medical required (Psychi Center Addiction Counselor Melissa D Hill, Addiction Not F Y Certification Board of None Y N CADC I Medicine required Oregon Kaiser Permanente Sunny- American Board of Psy- Bonnie S Huber, Mental side Medical Center; Kaiser Not F Y chiatry and Neurology Y N MD Health Permanente Westside Medical required (Psychi Center Ellisa Isaacson, Mental Not F Y Not Applicable None Y N LMHC Health required Heidi J Mental Not F N Not Applicable None Y N Kirkpatrick, LMFT Health required

Page 21 19414_09-21 Kaiser Permanente Sunny- American Board of Psy- Christiane L Kubit, Mental side Medical Center; Kaiser Not F Y chiatry and Neurology Y N MD Health Permanente Westside Medical required (Psychi Center Ann F Lauritsen, Mental Not F Y Not Applicable None Y N LCSW Health required Joyce L London, Mental Not F Y Not Applicable None Y N LICSW Health required Heather L Addiction Not McKittrick, CADC F Y None Y N Medicine required I Lisa D Mitchell, Mental Not F Y Not Applicable None Y N LICSW Health required Joylynn C Mental Not F Y Not Applicable None Y N Penaloza, PsyD Health required Oxana V Perian, Addiction Not F Y Not Applicable None Y N LMHC Medicine required Ann K Reeves, Addiction Not F Y Not Applicable None Y N LPC Medicine required Patricia M Rivera, Mental Not F Y Not Applicable None Y N PsyD Health required Caroline Rose, Mental Not F Y Not Applicable None Y N LCSW Health required Michele S Scott, Addiction Not F Y Not Applicable None Y N LMHC Medicine required Melissa Sellers, Mental Not F Y Not Applicable None Y N LCSW Health required Pamela A Skiver, Mental Not F Y Not Applicable None Y N LICSW Health required Jason T Slaton, Addiction National Board for Cer- Not M Y None Y N CDP Medicine tified Counselors required Megan H Smith, Mental Not F Y None Y N LPC Health required Kaiser Permanente Sunny- Sara A Smith, Addiction side Medical Center; Kaiser Not F Y Not Applicable Y N LMHC Medicine Permanente Westside Medical required Center

Page 22 19414_09-21 Kaiser Permanente Sunny- American Board of Psy- Bradley W Strong, Mental side Medical Center; Kaiser Not M Y chiatry and Neurology Y N MD Health Permanente Westside Medical required (Psychi Center Veronica N Mental Not F Y Not Applicable None Y N Sullivan, PhD Health required Brody D Tucker, Mental Not F Y Not Applicable None Y N LCSW Health required Jennifer M Addiction National Board for Cer- Not F Y None Y N Wakeman, CDP Medicine tified Counselors required Karen T Waters, Mental Not F Y Not Applicable None Y N LMHC Health required Timothy W West, Addiction Certified Alcohol Drug Not M Y None Y N LPC Medicine Counselor III required Julie H Wiesner, Mental Not F Y Not Applicable None Y N LICSW Health required Mercedes D Mental Not F Y Not Applicable None Y N Wilder, LCSW Health required Edward G Mental American Nurses Cre- Not Worsman, M Y None Y N Health dentialing Center required PMHNP Wendy L del Mar, Mental Not F Y None Y N LCSW Health required

Cedar Hills Medical/Dental Offices 12450 SW Walker Rd Beaverton, OR. 97005 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kerry J Family American Board of Fam- Not F N None Y Y Rasmussen, MD Medicine ily Medicine required

Page 23 19414_09-21 Clackamas Eye Care 12100 SE Stevens Rd Ste 106 Clackamas, OR. 97086 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Anna R Anderson, Not F Y Optometry Not Applicable None Y Y OD required Not Chau Bui, OD F Y Optometry Not Applicable None Y Y required Not Alise M Chin, OD F Y Optometry Not Applicable None Y N required Mariska R Cirera- National Board of Exam- Not F Y Optometry None Y Y Probst, OD iners in Optometry required Kaiser Permanente Sunny- side Medical Center; Kaiser Ronald P Davis II, Ophthalmol- American Board of Permanente Westside Medical May be M Y Y Y MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Not Huy T Do, OD M Y Optometry Not Applicable None Y Y required Not Xiaofeng Fu, OD F Y Optometry Not Applicable None Y Y required Kaiser Permanente Sunny- side Medical Center; Kaiser Jonathan B Ophthalmol- American Board of Permanente Westside Medical May be M Y Y Y Greene, MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Michele M Hall, Not F Y Optometry Not Applicable None Y Y OD required Not Alice Han, OD F Y Optometry Not Applicable None Y N required

Page 24 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Ophthalmol- American Board of Permanente Westside Medical May be John J Koo, MD M Y Y Y ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Not Paul G Krabill, OD M Y Optometry Not Applicable None Y Y required Patrick Kwong, Not M Y Optometry Not Applicable None Y Y OD required Kaiser Permanente Sunny- side Medical Center; Kaiser Natasha K Kye, Ophthalmol- American Board of Permanente Westside Medical May be F Y Y Y MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Travis P Lafayette, Not M Y Optometry Not Applicable None Y Y OD required Not Kim N Le, OD F Y Optometry Not Applicable None Y Y required Jill C Lobingier, Not F Y Optometry Not Applicable None Y Y OD required Kaiser Permanente Sunny- side Medical Center; Kaiser Kelly N Ma, MD, Ophthalmol- American Board of Permanente Westside Medical May be F Y Y Y MPH ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- side Medical Center; Kaiser Peter B Marsh, Ophthalmol- American Board of Permanente Westside Medical May be M Y Y Y MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Matthew G Not M Y Optometry Not Applicable None Y Y Pearce, OD required Kaiser Permanente Sunny- Kristin A Rarey, Ophthalmol- American Board of side Medical Center; Kaiser May be F Y Y Y MD ogy Ophthalmology Permanente Westside Medical required Center

Page 25 19414_09-21 Sheena R Rolston, Not F Y Optometry Not Applicable None Y Y OD required Jonathan A Not M Y Optometry Not Applicable None Y Y Russell, OD required Joshua D Not M Y Optometry Not Applicable None Y Y Shinoda, OD required Kaiser Permanente Sunny- side Medical Center; Kaiser David L Simons, Ophthalmol- American Board of May be M Y Permanente Westside Medi- Y Y MD, PhD ogy Ophthalmology required cal Center; Oregon Health & Science University Not Paul M Stasik, OD M Y Optometry Not Applicable None Y Y required Lyndsay M Not F Y Optometry Not Applicable None Y Y Stewart, OD required Chynna R Tang, Not F Y Optometry Not Applicable None Y Y OD required Kaiser Permanente Sunny- side Medical Center; Kaiser Ophthalmol- American Board of Permanente Westside Medical May be Paula Wynn, MD F Y Y Y ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University

Eugene Chase Garden Medical Offices 360 S Garden Wy Ste 105 Eugene, OR. 97401 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Sheila Jhansale, Internal American Board of Not F Y None Y N MD Medicine Internal Medicine required Family American Board of Fam- Not Mary A Loeb, MD F Y None Y N Medicine ily Medicine required American Board of Pedi- Jessica C Lohff- Family Not F Y atrics; American Board None Y N Phillips, DO Medicine required of Internal Medicine

Page 26 19414_09-21 Kaiser Permanente Sunny- American Board of Daniel L Tarbox, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- David B Witkin, Internal American Board of side Medical Center; Kaiser Not M Y Y N MD Medicine Internal Medicine Permanente Westside Medical required Center; Salem Hospital

Eugene Chase Garden Medical Offices 360 S Garden Wy Ste 105 Eugene, OR. 97401 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Lauren C Hills, Mental Not F N Not Applicable None Y N LPC Health required

Gateway Medical Offices 1700 NE 102nd Ave Portland, OR. 97220 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid John D Anderson, American Board of Kaiser Permanente Sunnyside Not M Y Pediatrics Spanish Y Y MD Pediatrics Medical Center required James P Burke, American Nurses Cre- Legacy Salmon Creek Medical Not M N Pediatrics Y Y ARNP dentialing Center Center required American Board of Kathy Y Chang, Occupation- Not F Y Preventive Medicine None Y Y MD, MPH al Medicine required (Occupationa Katherine A American Board of Not F N Pediatrics None Y Y Clayton, MD Pediatrics required American Board of Robert M Davis, Occupation- Not M Y Preventive Medicine None Y Y MD al Medicine required (Occupationa

Page 27 19414_09-21 Kaiser Permanente Sunny- Robert E Dexter, Internal American Board of side Medical Center; Kaiser Not M N Y Y MD Medicine Internal Medicine Permanente Westside Medical required Center Kathryn J Internal American Board of Not F N None Y Y Glassberg, MD Medicine Internal Medicine required Kaiser Permanente Sunny- Brooke M Internal American Board of side Medical Center; Kaiser Not F N Y Y Holmes, MD Medicine Internal Medicine Permanente Westside Medical required Center Vesna A Family American Board of Fam- Not F Y None Y Y Jovanovic, MD Medicine ily Medicine required Wui-Leong Koh, Family American Board of Fam- Not M N None Y Y MD Medicine ily Medicine required Internal American Board of Not Jennifer S Lin, MD F N None Y Y Medicine Internal Medicine required Sasha D Mallett, Internal American Board of Not F Y None Y Y MD, MPH Medicine Internal Medicine required Brittany H Mastin, Family American Board of Fam- Not F Y None Y Y DO Medicine ily Medicine required Noreen A Family American Osteopathic Not F Y None Y Y Mercando, DO Medicine Board of Family Practice required Jasminka M Family American Board of Fam- Not F N None Y Y Mujcic, MD Medicine ily Medicine required National Commission Joan C Nelson, Family Not F Y on Certification of Phys None Y Y PA-C Medicine required Assis Bina D Patel, MD, Family American Board of Fam- Not F Y None Spanish Y Y MPH Medicine ily Medicine required AANP Family Emily J Peterson, Family Not F Y Nurse Practitioner None Y Y NP Medicine required Certification Samantha M Family American Board of Fam- Not F Y None Y Y Potter, DO Medicine ily Medicine required Kaiser Permanente Sunny- Anna L Raphael, Internal American Board of side Medical Center; Kaiser Not F Y Y Y MD Medicine Internal Medicine Permanente Westside Medical required Center

Page 28 19414_09-21 Uhng-Choon B Internal American Board of Not F N None Y Y Shim, MD Medicine Internal Medicine required Selena M Sideras, Family American Board of Fam- Not F N None Y Y DO Medicine ily Medicine required Kimberly L Vigil, American Board of Not F Y Pediatrics None Y Y MD Pediatrics required Benjamin D Family American Board of Fam- Not M Y None Y Y Wachsmuth, MD Medicine ily Medicine required Family American Board of Fam- Not Bryan Wu, MD M Y None Y Y Medicine ily Medicine required

Gateway Medical Offices 1700 NE 102nd Ave Portland, OR. 97220 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Adriene S Mental Academy of Certified Not F Y None Y Y Daigneault, LCSW Health Social Workers required Margaret P Mental Not F Y Not Applicable None Y N Keicher, LCSW Health required

Interstate Medical Offices Central 3600 N Interstate Ave Portland, OR. 97227 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- American Board of Eric S Albright, Endocrinol- side Medical Center; Kaiser May be M Y Internal Medicine Y Y MD ogy Permanente Westside Medical required (Endocrinology Center Kaiser Permanente Sunny- Nancy L side Medical Center; Kaiser May be F Y Audiology Not Applicable Y Y Alexander, AUD Permanente Westside Medical required Center

Page 29 19414_09-21 Ashley K Althaus, Physical May be F Y None Y N PT Therapy required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Kristyn E Anthony, Allergy and Allergy and Immunolo- May be F Y Permanente Westside Medical Y Y MD Immunology gy; American Board of required Center; Legacy Salmon Creek Pediatrics Medical Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Endocrinol- May be Alistair Bahar, MD M Y Internal Medicine Permanente Westside Medical Y Y ogy required (Endocrinology Center; Legacy Salmon Creek Medical Center American Board of In- ternal Medicine (Hema- Kaiser Permanente Sunny- tology); American Board side Medical Center; Kaiser Hematol- Christine M of Internal Medicine Permanente Westside Med- May be F Y ogy and Y Y Barnett, MD (Medical Oncol; Amer- ical Center; Legacy Salmon required Oncology ican Board of Internal Creek Medical Center; Salem Medicine (Medical Hospital Oncol Allicia K Beach, Not F Y Optometry Not Applicable None Y Y OD required American Board of Kaiser Permanente Sunny- Internal Medicine; Bhavini B Bhavsar, Endocrinol- side Medical Center; Kaiser May be F Y American Board of Y Y MD, MPH ogy Permanente Westside Medical required Internal Medicine Center (Endocrinology Kaiser Permanente Sunny- side Medical Center; Kaiser Kristin S Biggee, Ophthalmol- American Board of Permanente Westside Medical May be F Y Y N MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- side Medical Center; Kaiser Melinda F Binkley, Ophthalmol- American Board of May be F Y Permanente Westside Medical Y Y MD ogy Ophthalmology required Center; Legacy Salmon Creek Medical Center

Page 30 19414_09-21 American Board of In- Kaiser Permanente Sunny- ternal Medicine (Hema- side Medical Center; Kaiser Punprapai Hematol- tology); American Board Permanente Westside Med- May be Boriboonsomsin, F Y ogy and of Internal Medicine Y Y ical Center; Legacy Salmon required MD Oncology (Medical Oncol; Amer- Creek Medical Center; Salem ican Board of Internal Hospital Medicine Kaiser Permanente Sunny- Jennifer T side Medical Center; Kaiser May be F Y Audiology Not Applicable Y Y Bowman, AUD Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Hematol- (Medical Oncol; Amer- Soames F Boyle, Permanente Westside Med- May be F Y ogy and ican Board of Internal Y Y MD ical Center; Legacy Salmon required Oncology Medicine (Hematolo- Creek Medical Center; Salem gy); American Board of Hospital Internal Medicine Nancy A Brown, Occupation- May be F Y Not Applicable None Y Y OT al Therapy required Not Chau Bui, OD F Y Optometry Not Applicable None Y Y required Kaiser Permanente Sunny- side Medical Center; Kaiser Allergy and American Board of Al- May be Mark T Chan, MD M Y Permanente Westside Medical Y Y Immunology lergy and Immunology required Center; Legacy Salmon Creek Medical Center Not Alise M Chin, OD F Y Optometry Not Applicable None Y N required Alexandra B Not F Y Optometry Not Applicable None Y Y Choban, OD required Kaiser Permanente Sunny- side Medical Center; Kaiser Anthony C Cirino, Ophthalmol- American Board of Permanente Westside Medical May be M Y Y Y MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- Debra M Gastroenter- American Academy of side Medical Center; Kaiser May be F Y Y Y Clement, FNP-C ology Nurse Practitioners Permanente Westside Medical required Center

Page 31 19414_09-21 Kaiser Permanente Sunny- Hematol- Diane M American Academy of side Medical Center; Kaiser May be F Y ogy and Y Y Cockburn, ANP Nurse Practitioners Permanente Westside Medical required Oncology Center Daniel H Cooper, Physical May be M Y None Y N DPT Therapy required American Board of In- Kaiser Permanente Sunny- ternal Medicine; Amer- side Medical Center; Kaiser Hematol- ican Board of Internal Daniel I Da Graca, Permanente Westside Med- May be M Y ogy and Medicine (Hematology); Y Y MD ical Center; Legacy Salmon required Oncology American Board of In- Creek Medical Center; Salem ternal Medicine (Medi- Hospital cal Oncol Faye D Dahuyag, Occupation- May be F Y None Y N OT al Therapy required Jane C Delnicki, Occupation- May be F Y None Y N OT al Therapy required Heather J Physical May be F Y Not Applicable None Y Y Dennett, PT Therapy required Not Huy T Do, OD M Y Optometry Not Applicable None Y Y required American Board of Kaiser Permanente Sunny- Physical Medicine/ Jennifer L Dwyer, side Medical Center; Kaiser May be F Y Physiatry Rehabilitation; Amer- Y Y DO Permanente Westside Medical required ican Board of Physical Center Medicine/Rehabilitation Victoria A Speech May be F Y Not Applicable None Y Y Edwards, MS Therapy required American Board of In- Kaiser Permanente Sunny- Hematol- ternal Medicine; Amer- side Medical Center; Kaiser Robert B Ellis, May be M Y ogy and ican Board of Internal Permanente Westside Medical Y N DO, PhD required Oncology Medicine (Medical Center; Legacy Salmon Creek Oncol Medical Center Kaiser Permanente Sunny- American Board of Andrea L Ferreiro, side Medical Center; Kaiser May be F Y Physiatry Physical Medicine/ Y Y DO Permanente Westside Medical required Rehabilitation Center

Page 32 19414_09-21 Kaiser Permanente Sunny- Sarah D American Board of side Medical Center; Kaiser May be F Y Dermatology Y Y Fitzmaurice, MD Dermatology Permanente Westside Medical required Center Maura R Gabriel, Physical May be F Y Not Applicable None Y Y PT Therapy required Kaiser Permanente Sunny- Kelly D George, Endocrinol- American Board of side Medical Center; Kaiser May be F Y Y Y MD ogy Internal Medicine Permanente Westside Medical required Center Thomas H Gibbs, Not M Y Optometry Not Applicable None Y Y OD required Kaiser Permanente Sunny- side Medical Center; Kaiser Jonathan B Ophthalmol- American Board of Permanente Westside Medical May be M Y Y Y Greene, MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- Teresa R Hall, side Medical Center; Kaiser May be F Y Audiology Not Applicable Y Y AUD Permanente Westside Medical required Center Not Alice Han, OD F Y Optometry Not Applicable None Y N required Kaiser Permanente Sunny- Hematol- Diane D Harper, American Academy of side Medical Center; Kaiser May be F Y ogy and Y Y FNP-C Nurse Practitioners Permanente Westside Medical required Oncology Center Elisa M Hawley, Physical May be F Y Not Applicable None Y Y PT Therapy required Not Trevor H Hay, OD M Y Optometry Not Applicable None Y Y required American Board of Internal Medicine (Med- ical Oncol; American Kaiser Permanente Sunny- Catalina Hematol- Board of Internal Medi- side Medical Center; Kaiser May be Hernandez F Y ogy and cine; The Royal College Y Y Permanente Westside Medical required Torres, MD Oncology of Physicians and Sur- Center; Salem Hospital geons of Ca; The Royal College of Physicians and Surgeons of Ca

Page 33 19414_09-21 Kaiser Permanente Sunny- Leslie E Hojem, side Medical Center; Kaiser May be F Y Audiology Not Applicable Y Y MS Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Internal Medicine; side Medical Center; Kaiser Allergy and American Board of May be Julie C Hong, MD F Y Permanente Westside Medical Y Y Immunology Allergy and Immunolo- required Center; Legacy Salmon Creek gy; American Board of Medical Center Pediatrics Kaiser Permanente Sunny- Jesse Y Howell, American Board of side Medical Center; Kaiser May be M Y Dermatology Y Y MD Dermatology Permanente Westside Medical required Center National Commission Jennifer T Hunt, May be F Y Physiatry on Certification of Phys None Y Y PA required Assis Kaiser Permanente Sunny- National Commission Kenneth D Gastroenter- side Medical Center; Kaiser May be M Y on Certification of Phys Y Y Ingram, PA-C ology Permanente Westside Medical required Assis Center Jazmine H Jung, May be F Y Genetics None Y N CGC required Audrey Karlea, May be F Y Genetics None Y N CGC required Kaiser Permanente Sunny- National Commission Gastroenter- side Medical Center; Kaiser May be Cord R Keel, PA-C M Y on Certification of Phys Y Y ology Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be James Y Kim, MD M Y Physiatry Physical Medicine/ Y Y Permanente Westside Medical required Rehabilitation Center Carol S Kircher Occupation- May be F Y Not Applicable None Y Y Sampson, OT al Therapy required Kaiser Permanente Sunny- Hematol- Kari M Komlofske, American Academy of side Medical Center; Kaiser May be F Y ogy and Y Y FNP-C Nurse Practitioners Permanente Westside Medical required Oncology Center

Page 34 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Ophthalmol- American Board of Permanente Westside Medical May be John J Koo, MD M Y Y Y ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Not Paul G Krabill, OD M Y Optometry Not Applicable None Y Y required American Board of Kaiser Permanente Sunny- Internal Medicine (Med- side Medical Center; Kaiser Hematol- ical Oncol; American Rajeev Krishnan, Permanente Westside Med- May be M Y ogy and Board of Internal Med- Y Y MD ical Center; Legacy Salmon required Oncology icine; American Board Creek Medical Center; Salem of Internal Medicine Hospital (Medical Oncol Kaiser Permanente Sunny- side Medical Center; Kaiser Andrew D Otolaryngol- American Board of Permanente Westside Medical May be M Y Y Y Kroeker, MD ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Natalie A Kulaga, Not F Y Optometry Not Applicable None Y N OD required Kaiser Permanente Sunny- side Medical Center; Kaiser Hematol- American Board of In- Douglas M Permanente Westside Med- May be M Y ogy and ternal Medicine (Medi- Y Y Lackowski, MD ical Center; Legacy Salmon required Oncology cal Oncol Creek Medical Center; Salem Hospital Hematol- Diane M Langer, May be F Y ogy and None Y N LCSW required Oncology Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Jake D Lenington, Allergy and Allergy and Immunolo- May be M Y Permanente Westside Medical Y Y MD Immunology gy; American Board of required Center; Legacy Salmon Creek Internal Medicine Medical Center Kaiser Permanente Sunny- Henry Lin, MD, Ophthalmol- American Board of side Medical Center; Kaiser May be M Y Y Y PhD ogy Ophthalmology Permanente Westside Medical required Center

Page 35 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Ophthalmol- American Board of Permanente Westside Medical May be Wayne R Lo, MD M Y Y Y ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Jill C Lobingier, Not F Y Optometry Not Applicable None Y Y OD required Kaiser Permanente Sunny- side Medical Center; Kaiser Kelly N Ma, MD, Ophthalmol- American Board of Permanente Westside Medical May be F Y Y Y MPH ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University American Board of Kaiser Permanente Sunny- Physical Medicine/ Vaibhav V side Medical Center; Kaiser May be M Y Physiatry Rehabilitation; Amer- Y Y Maheshwari, DO Permanente Westside Medical required ican Board of Physical Center Medicine/Rehabilitation Kaiser Permanente Sunny- American Board of Lynette S Malik, side Medical Center; Kaiser May be F Y Physiatry Physical Medicine/ Y Y MD Permanente Westside Medical required Rehabilitation Center American Board of In- ternal Medicine (Hema- Kaiser Permanente Sunny- Hematol- tology); American Board side Medical Center; Kaiser Abdul Hai May be M Y ogy and of Internal Medicine Permanente Westside Medical Y Y Mansoor, MD required Oncology (Medical Oncol; Amer- Center; Legacy Salmon Creek ican Board of Internal Medical Center Medicine American Board of Kaiser Permanente Sunny- Internal Medicine (Med- side Medical Center; Kaiser Hematol- ical Oncol; American Sandeep H Permanente Westside Med- May be M Y ogy and Board of Internal Med- Y Y Mashru, MD ical Center; Legacy Salmon required Oncology icine; American Board Creek Medical Center; Salem of Internal Medicine Hospital (Hematology) Kaiser Permanente Sunny- side Medical Center; Kaiser Mariah N Mason, American Board of May be F Y Dermatology Permanente Westside Medical Y Y MD Dermatology required Center; Legacy Salmon Creek Medical Center

Page 36 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Michael J May, Ophthalmol- American Board of May be M Y Permanente Westside Medical Y Y MD ogy Ophthalmology required Center; Legacy Salmon Creek Medical Center American Board of Kaiser Permanente Sunny- Margo A Internal Medicine side Medical Center; Kaiser Not McGehee-Kelly, F N Geriatrics (Hospice & Pal; Amer- Y Y Permanente Westside Medical required MD ican Board of Internal Center Medicine Physical May be April Milan, DPT F Y None Y N Therapy required Angela Z Minavi, Not F Y Optometry Not Applicable None Y Y OD required Pediat- Elizabeth M May be F Y ric Devl/ None Y N Minick, MSW required Behavioral Cecilia S Muraki, Not F Y Optometry Not Applicable None Y Y OD required Kaiser Permanente Sunny- Jennifer A Plastic American Board of Plas- side Medical Center; Kaiser May be F Y Y Y Murphy, MD Surgery tic Surgery Permanente Westside Medical required Center Not Emily E Nam, OD F Y Optometry Not Applicable None Y Y required Kaiser Permanente Sunny- American Board of Minh C Nguyen, side Medical Center; Kaiser May be M Y Physiatry Physical Medicine/ Y Y MD, MPH Permanente Westside Medical required Rehabilitation Center Ian S Odgear, May be M Y Audiology Not Applicable None Y Y AUD required Kaiser Permanente Sunny- American Board of Jeffrey S Olson, Gastroenter- side Medical Center; Kaiser May be M Y Internal Medicine Y Y MD ology Permanente Westside Medical required (Gastroenterol Center Hematol- Marcie D Olson, May be F Y ogy and Not Applicable None Y Y LCSW required Oncology Robyn M Oxley, Physical May be F Y None Y N PT Therapy required

Page 37 19414_09-21 American Board of May be Nirav G Patel, MD M Y Dermatology None Y Y Dermatology required Kaiser Permanente Sunny- side Medical Center; Kaiser Antony M Ophthalmol- American Board of Permanente Westside Medical May be M Y Y Y Poothullil, MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- Kristin A Rarey, Ophthalmol- American Board of side Medical Center; Kaiser May be F Y Y Y MD ogy Ophthalmology Permanente Westside Medical required Center Nancy G Richman, Physical May be F Y None Y N MSPT Therapy required Hematol- Erick F Rivera, May be M Y ogy and None Y N LCSW required Oncology Sara J Schultz, Not F Y Optometry Not Applicable None Y Y OD required Hematol- May be Nina Scott, LCSW F Y ogy and None Y N required Oncology Jessica Sharlow, Occupation- May be F Y None Y N OT al Therapy required Joshua D Not M Y Optometry Not Applicable None Y Y Shinoda, OD required American Board of In- Kaiser Permanente Sunny- Hematol- ternal Medicine; Amer- Ryo A Shohara, side Medical Center; Kaiser May be M Y ogy and ican Board of Internal Y Y MD Permanente Westside Medical required Oncology Medicine (Medical Center; Salem Hospital Oncol Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of Permanente Westside Medical May be Dana S Smith, MD M Y Y Y ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University James M Snell, Not M Y Optometry Not Applicable None Y N OD required

Page 38 19414_09-21 Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Christin N Snyder, Endocrinol- May be F Y Internal Medicine Permanente Westside Medical Y N MD ogy required (Endocrinology Center; Legacy Salmon Creek Medical Center Physical May be Sukhee So, PT F Y Not Applicable None Y Y Therapy required Not Paul M Stasik, OD M Y Optometry Not Applicable None Y Y required Keri S Sullivan, Physical May be F Y Not Applicable None Y Y DPT Therapy required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Endocrinol- May be Grace E Sun, DO F Y Internal Medicine Permanente Westside Medical Y Y ogy required (Endocrinology Center; Legacy Salmon Creek Medical Center Kara M Sundell, Occupation- May be F Y Not Applicable None Y Y OT al Therapy required Chynna R Tang, Not F Y Optometry Not Applicable None Y Y OD required Kaiser Permanente Sunny- National Commission Jaclyn M Gastroenter- side Medical Center; Kaiser May be F Y on Certification of Phys Y Y Thobaben, PA-C ology Permanente Westside Medical required Assis Center Patricia A Thoma, Physical May be F Y Not Applicable None Y Y PT Therapy required American Board of In- Kaiser Permanente Sunny- Hematol- ternal Medicine; Amer- Matthew D side Medical Center; Kaiser May be M Y ogy and ican Board of Internal Y Y Tipping, MD Permanente Westside Medical required Oncology Medicine (Medical Center; Salem Hospital Oncol Kaiser Permanente Sunny- side Medical Center; Kaiser Ophthalmol- American Board of Permanente Westside Medical May be Danita Tom, MD F Y Y Y ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University

Page 39 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Allergy and American Board of Al- May be Justin S Treat, DO M Y Permanente Westside Medical Y N Immunology lergy and Immunology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- side Medical Center; Kaiser Charlotte L Tsai, American Board of May be F Y Dermatology Permanente Westside Medical Y Y MD Dermatology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of Jennifer L Gastroenter- side Medical Center; Kaiser May be F Y Internal Medicine Y Y Urquhart, MD ology Permanente Westside Medical required (Gastroenterol Center American Board of Kaiser Permanente Sunny- Nisha D Internal Medicine; side Medical Center; Kaiser May be F Y Dermatology Y Y Varadarajan, MD American Board of Permanente Westside Medical required Dermatology Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Laurie H Vessely, Endocrinol- May be F Y Internal Medicine Permanente Westside Medical Y Y MD ogy required (Endocrinology Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Claudia V Gastroenter- American Academy of side Medical Center; Kaiser May be F Y Y Y Vizireanu, FNP ology Nurse Practitioners Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Hematol- (Medical Oncol; Amer- Jennifer P Waugh, Permanente Westside Med- May be F Y ogy and ican Board of Internal Y Y MD ical Center; Legacy Salmon required Oncology Medicine (Hematolo- Creek Medical Center; Salem gy); American Board of Hospital Internal Medicine Anne C Physical May be F Y Not Applicable None Y Y Zymkowitz, PT Therapy required

Page 40 19414_09-21 Interstate Medical Offices East 3550 N Interstate Ave Portland, OR. 97227 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- John Alferes Jr, Internal American Board of side Medical Center; Kaiser Not M Y Y Y MD Medicine Internal Medicine Permanente Westside Medical required Center Krystle L May be F Y Pediatrics None Y N Alligood, BCBA required Kaiser Permanente Sunny- Keith H Bachman, Internal American Board of side Medical Center; Kaiser Not M N Y Y MD Medicine Internal Medicine Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Pediatric Amira N Baker, Pediatrics (Infectious side Medical Center; Kaiser May be F Y Infectious Y Y MD Disease); American Permanente Westside Medical required Diseases Board of Pediatrics Center Obstet- American College of Sara F Baldauf- Not F Y rics and Nurse Midwives Certifi- None Y Y Wilcox, NP, CNM required Gynecology cation C Pediat- Anne E Barker, May be F Y ric Devl/ Not Applicable None Y N LMFT required Behavioral Kaiser Permanente Sunny- side Medical Center; Kaiser Jennifer L Bass, American Board of Not F N Pediatrics Permanente Westside Medical Y Y MD Pediatrics required Center; OHSU/Doernbecher Childrens Kaiser Permanente Sunny- American Board of Urol- side Medical Center; Kaiser Aaron P Bayne, May be M Y Urology ogy; American Board of Permanente Westside Medi- Y Y MD required Urology (Pediatrics) cal Center; Oregon Health & Science University Denise M Bilbao, Internal American Board of Not F N None Spanish Y Y MD Medicine Internal Medicine required

Page 41 19414_09-21 Kaiser Permanente Sunny- Obstet- Sarah E Bodian, American Midwifery side Medical Center; Kaiser Not F Y rics and Y Y CNM Certification Board Permanente Westside Medical required Gynecology Center American Board of Pe- Pediat- Scott J Brown, diatrics (Developmen- May be M Y ric Devl/ None Y Y MD tal-Behavi; American required Behavioral Board of Pediatrics James P Burke, American Nurses Cre- Legacy Salmon Creek Medical Not M N Pediatrics Y Y ARNP dentialing Center Center required Kaiser Permanente Sunny- Allison R Carroll, American Board of side Medical Center; Kaiser Not F Y Pediatrics Y Y MD Pediatrics Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Melinda A Pediatrics; American May be F Y Neonatology Permanente Westside Medical Y Y Caskey, MD Board of Pediatrics required Center; OHSU/Doernbecher (Neonatal-Perinatal) Childrens Richard C Cohen, American Board of Not M Y Pediatrics OHSU/Doernbecher Childrens Y Y MD Pediatrics required Sarah A American Board of Psy- Pediatric Kaiser Permanente Sunnyside May be Copeland, MD, F Y chiatry and Neurology Y Y Neurology Medical Center required PhD (Neurol American Board of Pe- Pediat- diatrics (Developmen- May be Sara L Cuthill, MD F Y ric Devl/ None Y Y tal-Behavi; American required Behavioral Board of Pediatrics Natalie DaSilva, May be F Y Pediatrics Not Applicable None Y N LMFT required Kaiser Permanente Sunny- American Academy of side Medical Center; Kaiser Megan E Danish, Immune Nurse Practitioners; May be F Y Permanente Westside Medical Y Y FNP Deficiency American Academy of required Center; OHSU/Doernbecher Nurse Practitioners Childrens Kaiser Permanente Sunny- American Academy of side Medical Center; Kaiser Megan E Danish, Pediatric Nurse Practitioners; May be F Y Permanente Westside Medical Y Y FNP Pulmonology American Academy of required Center; OHSU/Doernbecher Nurse Practitioners Childrens

Page 42 19414_09-21 Kaiser Permanente Sunny- Obstet- Autumn S American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y Davidson, MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Christina T American Board of Not F Y Pediatrics OHSU/Doernbecher Childrens Y Y Derstine, MD Pediatrics required Kaiser Permanente Sunny- Stephanie P Internal American Board of side Medical Center; Kaiser Not F N Y Y Detlefsen, MD Medicine Internal Medicine Permanente Westside Medical required Center American Osteopath- Family Not Dolly Do, DO F Y ic Board of Family None Y Y Medicine required Medicine Obstet- Jessica A Dudley, American Academy of Not F Y rics and None Y Y FNP Nurse Practitioners required Gynecology Audrey K May be F Y Pediatrics None Y N Easttum, RD required Charles R Elder, Internal American Board of Not M N None Y Y MD Medicine Internal Medicine required Kaiser Permanente Sunny- Obstet- American College of Jodi A Farrera, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y Y CNM Permanente Westside Medical required Gynecology cation C Center American Board of Internal Medicine Kellie R Foster, Internal Not F N (Geriatric Med; Amer- None Y Y MD Medicine required ican Board of Internal Medicine Panagiotis D Internal American Board of Not M Y None Y Y Fourtounis, MD Medicine Internal Medicine required Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser American Board of Ob- Not Erin R Gee, MD F Y rics and Permanente Westside Medical Y N stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center American Board of In- Kaiser Permanente Sunny- Katie M Goodwin, Internal ternal Medicine; Amer- side Medical Center; Kaiser Not F Y Y Y MD Medicine ican Academy of HIV Permanente Westside Medical required Medicine Center

Page 43 19414_09-21 American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Darshika Rheumatol- May be F Y (Rheumatology); Amer- Permanente Westside Medical Y Y Goswami, MD ogy required ican Board of Internal Center; Legacy Salmon Creek Medicine Medical Center Brant A Granger, Family American Board of Fam- Not M Y None Y N DO Medicine ily Medicine required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Brian L Rheumatol- May be M Y Internal Medicine Permanente Westside Medical Y Y Greenberg, MD ogy required (Rheumatology) Center; Legacy Salmon Creek Medical Center Nilana S Family American Board of Fam- Not F Y None Y Y Gunasekaran, MD Medicine ily Medicine required May be Jesse R Hall, RD M Y Nutrition None Y N required Thomas W Internal American Board of Kaiser Permanente Sunnyside Not M Y Y Y Harbison, MD Medicine Internal Medicine Medical Center required Laura S Harris, Family Not F N None Y N FNP Medicine required Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser Shauna M Hicks, American Board of Ob- Not F Y rics and Permanente Westside Medical Y Y MD stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Pediatric side Medical Center; Kaiser Andrea N Hinkley- American Board of May be F Y Newborn Permanente Westside Medical Y Y Hynes, MD Pediatrics required Care Center; Legacy Salmon Creek Medical Center Janet S Hodge, May be F Y Nutrition None Y N RD LD required Sara L Holthuis, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required Jennifer L Horner, May be F Y Pediatrics None Y N LCSW required Family American Board of Fam- Not Mia Hosaka, DO F Y None Y Y Medicine ily Medicine required

Page 44 19414_09-21 Kaiser Permanente Sunny- Obstet- Heather A Jacobs, American Midwifery side Medical Center; Kaiser Not F Y rics and Y Y CNM Certification Board Permanente Westside Medical required Gynecology Center Kenrick A Jones, Internal American Board of Not M Y None Y Y MD Medicine Internal Medicine required Family American Board of Fam- Not Tori A Jones, MD F Y None Y Y Medicine ily Medicine required Jessica M May be F Y Pediatrics None Y N Josephson, RD required American Board of Kaiser Permanente Sunny- Internal Medicine Hsin-Hsuan Juo, Rheumatol- side Medical Center; Kaiser May be F Y (Rheumatology); Amer- Y Y MD ogy Permanente Westside Medical required ican Board of Internal Center Medicine Kaiser Permanente Sunny- Lauren E Kaplan, Internal American Board of side Medical Center; Kaiser Not F N Y Y DO Medicine Internal Medicine Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Vandana Khurma, Rheumatol- May be F Y Internal Medicine Permanente Westside Medical Y Y MD ogy required (Rheumatology) Center; Legacy Salmon Creek Medical Center American Board of Pedi- Pediatric Kaiser Permanente Sunnyside Thomas D atrics (Hematology-On- May be M Y Hematology/ Medical Center; OHSU/Doer- Y Y Lamkin, MD cology); American required Oncology nbecher Childrens Board of Pediatrics Kaiser Permanente Sunny- National Commission Melisa A Laurits- Immune side Medical Center; Kaiser May be F Y on Certification of Phys Y Y Stocek, PA-C Deficiency Permanente Westside Medical required Assis Center American Board of Internal Medicine Kaiser Permanente Sunny- (Infectious Di; Ameri- side Medical Center; Kaiser Peter A Leahey, Immune May be M Y can Board of Internal Permanente Westside Medical Y Y MD Deficiency required Medicine (Infectious Center; Legacy Salmon Creek Di; American Board of Medical Center Internal Medicine Heather M Leffler, Immune May be F Y None Y N LCSW Deficiency required

Page 45 19414_09-21 American Board of Pediatric Kaiser Permanente Sunnyside Kristina L Pediatrics (Gastroenter- May be F Y Gastroenter- Medical Center; OHSU/Doer- Y Y Leinwand, DO ology); American Board required ology nbecher Childrens of Pediatrics Kaiser Permanente Sunny- American Board of Pedi- Pediatric side Medical Center; Kaiser Paul F Lewis, MD, atrics; American Board May be M Y Infectious Permanente Westside Medi- Y Y MPH of Pediatrics (Infectious required Diseases cal Center; Oregon Health & Disease) Science University American Board of Kaiser Permanente Sunnyside Not Wendy Lin, MD F N Pediatrics Y Y Pediatrics Medical Center required Kaiser Permanente Sunny- side Medical Center; Kaiser Family American Board of Fam- Not Robyn A Liu, MD F N Permanente Westside Medi- Y Y Medicine ily Medicine required cal Center; Oregon Health & Science University Family American Board of Fam- Not Steven F Liu, MD M Y None Y Y Medicine ily Medicine required Catherine K Lum, Pediatric En- American Board of Pedi- Kaiser Permanente Sunnyside May be F Y Y Y MD, MPH docrinology atrics (Endocrinology) Medical Center required Kaiser Permanente Sunny- Mustafa M Family American Board of Fam- side Medical Center; Kaiser Not M Y Y Y Mahmood, MD Medicine ily Medicine Permanente Westside Medical required Center Kaiser Permanente Sunny- Obstet- Grace McBride, American Midwifery side Medical Center; Kaiser Not F Y rics and Y Y CNM Certification Board Permanente Westside Medical required Gynecology Center American Board of Kaiser Permanente Sunny- Internal Medicine; side Medical Center; Kaiser Christine A Rheumatol- May be F Y American Board of Permanente Westside Medical Y Y McBurney, MD ogy required Internal Medicine Center; Legacy Salmon Creek (Rheumatology) Medical Center Obstet- American College of Alissa Z McMaken Not F Y rics and Nurse Midwives Certifi- None Y Y Roberts, CNM required Gynecology cation C Lori R Mcclure, Pediatric Nursing Certi- May be F Y Urology None Y Y CPNP fication Board required Marina Mezey, Family American Board of Fam- Not F N None Y Y MD Medicine ily Medicine required

Page 46 19414_09-21 American Board of In- ternal Medicine; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser Susan L May be F Y Pulmonology Medicine (Pulmonary Permanente Westside Medical Y Y Mikkelsen, MD required Dis; American Board of Center; Legacy Salmon Creek Internal Medicine (Criti- Medical Center cal Care Mina B Monroe, May be F Y Pediatrics None Y N MSW, MPH required Kaiser Permanente Sunny- Heather M Internal American Board of side Medical Center; Kaiser Not F N Y Y Motonaga, MD Medicine Internal Medicine Permanente Westside Medical required Center Kaiser Permanente Sunnyside Jeanne A Mowry, Pediatric American Board of Pedi- May be F Y Medical Center; OHSU/Doer- Y Y MD Nephrology atrics (Nephrology) required nbecher Childrens Kaiser Permanente Sunny- Maung W Myint, Internal American Board of side Medical Center; Kaiser Not M Y Y Y MD Medicine Internal Medicine Permanente Westside Medical required Center Obstet- Casey P Nicol, American Board of Ob- Kaiser Permanente Sunnyside Not F Y rics and Y Y MD, MPH stetrics and Gynecology Medical Center required Gynecology Family American Board of Fam- Not Brit A Nilsen, MD F Y None Y Y Medicine ily Medicine required Kamala M Family American Board of Fam- Not F N None Y Y Nyamathi, MD Medicine ily Medicine required American Board of Psychiatry and Neurol- Venu G Parachuri, Pediatric Kaiser Permanente Sunnyside May be M Y ogy (Child ; American Y Y MD Neurology Medical Center required Board of Psychiatry and Neurology (Epilep Family American Board of Fam- Not Tony J Park, MD M Y None Y Y Medicine ily Medicine required Mary C Pasquesi, May be F Y Pediatrics None Y N LCSW required Kaiser Permanente Sunny- Obstet- Eva B Patil, MD, American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y MPH stetrics and Gynecology Permanente Westside Medical required Gynecology Center

Page 47 19414_09-21 Heather M Penny, Family American Board of Fam- Not F Y None Spanish Y Y MD Medicine ily Medicine required Robert W American Board of Not M N Pediatrics None Y Y Peterson, MD Pediatrics required American Board of Pedi- Kaiser Permanente Sunny- Brian N Pfeiffer, atrics; American Board side Medical Center; Kaiser May be M Y Genetics Y Y DO of Medical Genetics Permanente Westside Medical required (Clinical Genet Center Kaiser Permanente Sunny- Obstet- Carolyn C American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y Piszczek, MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Obstet- Kaiser Permanente Sunnyside Joy L Pretcher, American Board of Ob- Not F Y rics and Medical Center; Legacy Salm- Y Y MD stetrics and Gynecology required Gynecology on Creek Medical Center Shaili H Rajput, American Board of Not F N Pediatrics None Y Y MD Pediatrics required Pediatric American Board Kaiser Permanente Sunnyside Ramya Ramraj, May be F Y Gastroenter- of Pediatrics Medical Center; OHSU/Doer- Y Y MD required ology (Gastroenterology) nbecher Childrens Matthew V Reid, Family American Board of Fam- Not M Y None Y Y MD Medicine ily Medicine required David B Rubin, Internal American Board of Not M Y None Y Y MD Medicine Internal Medicine required Internal American Board of Not David E Sax, MD M N None Y Y Medicine Internal Medicine required American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- side Medical Center; Kaiser May be Yanan Shang, MD F Y Neurology ogy (Neurol; American Y Y Permanente Westside Medical required Board of Psychiatry and Center Neurology (Epilep American Board of Pedi- Family Not Ellen L Singer, MD F N atrics; American Board None Y Y Medicine required of Internal Medicine Pediat- Kimberly N May be F Y ric Devl/ Not Applicable None Y N Skillicorn, PsyD required Behavioral Immune May be Lisa Smith, LCSW F Y None Y N Deficiency required

Page 48 19414_09-21 Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Rheumatol- May be Erin K Snell, MD F Y Internal Medicine Permanente Westside Medical Y Y ogy required (Rheumatology) Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Obstet- Dawn M Stanek, American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Kaiser Permanente Sunny- American Board of In- side Medical Center; Kaiser Molly S Stenzel, Immune May be F Y ternal Medicine (Infec- Permanente Westside Medical Y Y MD Deficiency required tious Di Center; Legacy Salmon Creek Medical Center Pediat- Faye Van Der May be F Y ric Devl/ Not Applicable None Y Y Fluit, PhD required Behavioral Family American Board of Fam- Not Brian K Vo, DO M Y None Y N Medicine ily Medicine required American Board of In- ternal Medicine (Critical Kaiser Permanente Sunny- Care; American Board side Medical Center; Kaiser May be Eric C Walter, MD M Y Pulmonology of Internal Medicine; Permanente Westside Medical Y Y required American Board of In- Center; Legacy Salmon Creek ternal Medicine (Pulmo- Medical Center nary Dis Family American Board of Fam- Not May S Wang, MD F Y None Y Y Medicine ily Medicine required Kaiser Permanente Sunny- Internal American Board of side Medical Center; Kaiser Not Vicky P Wang, MD F N Y Y Medicine Internal Medicine Permanente Westside Medical required Center Kaiser Permanente Sunny- Obstet- Eric F Warshaw, American Board of Ob- side Medical Center; Kaiser Not M Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Kristin M Family American Board of Fam- Not F Y None Y Y Wheeler, MD Medicine ily Medicine required Rachel J Young, Family American Board of Fam- Not F N None Y Y MD Medicine ily Medicine required

Page 49 19414_09-21 American Board of Not Camille J Yu, MD F Y Pediatrics OHSU/Doernbecher Childrens Y Y Pediatrics required Kaiser Permanente Sunny- American Board of Sur- side Medical Center; Kaiser Andrew F Zigman, General gery (Pediatric Surgery); May be M Y Permanente Westside Medi- Y Y MD Surgery American Board of required cal Center; Oregon Health & Surgery Science University Kaiser Permanente Sunny- Obstet- Gene de Haan, American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center

Interstate Medical Offices East 3550 N Interstate Ave Portland, OR. 97227 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Brianna C Abbey, Addiction Not F Y Not Applicable None Y N LPC Medicine required Kaiser Permanente Sunny- Bradley M Addiction American Board of Ad- side Medical Center; Kaiser Not M Y Y N Anderson, MD Medicine diction Medicine Permanente Westside Medical required Center Alison D Armour, Mental Not F Y Not Applicable None Y N PsyD Health required Heather L Mental Not F Y Not Applicable None Y N Aronson, LMFT Health required Ann M Augustine, Mental Not F Y Not Applicable None Y N LPC Health required Patricia B Ayers, Mental Not F Y None Y N LMFT Health required Mitchell T Bacon, Mental Not M Y Not Applicable None Y N LMFT Health required Diane J Bader, Mental Not F Y Not Applicable None Y N LCSW Health required

Page 50 19414_09-21 Giselle Barone, Mental Not F Y Not Applicable None Y N MA Health required National Certification Kaiser Permanente Sunny- Commission for Acu- Douglas L Beal, Addiction side Medical Center; Kaiser Not M Y puncture ; American Y N NP Medicine Permanente Westside Medical required Nurses Credentialing Center Center Addiction Counselor Jeffrey B Beatty, Addiction Not M Y Certification Board of None Y N CADC II Medicine required Oregon National Commission David S Belli, Addiction Not M Y on Certification of Phys None Y N PA-C Medicine required Assis Katherine E Addiction Kaiser Permanente Sunnyside Not F Y Not Applicable Y N Bentley, CADC I Medicine Medical Center required Jennifer C Addiction Not F Y Not Applicable None Y N Bimberg, LCSW Medicine required Bryan C Blalock, Addiction Certified Alcohol Drug Not M Y None Y N CADC II Medicine Counselor II required Josephine B Mental Not F Y Not Applicable None Y N Bourke, LCSW Health required James P Bryant, Addiction Certified Alcohol Drug Kaiser Permanente Sunnyside Not M Y Y N CADC III Medicine Counselor III Medical Center required Mary C Carlyle, Mental National Board for Cer- Not F Y None Y N LPC Health tified Counselors required Tod J Carrig, Addiction Kaiser Permanente Sunnyside Not M Y Not Applicable Y N CADC III Medicine Medical Center required Suzanne C Addiction Not F Y None Y N Cooper, NP Medicine required Kaiser Permanente Sunny- Jessica L Corp, Addiction Certified Alcohol Drug side Medical Center; Kaiser Not F Y Y N CADC I Medicine Counselor I Permanente Westside Medical required Center Jordan M Mental Not Dobrovolny, F Y Not Applicable None Y N Health required LCSW

Page 51 19414_09-21 American Board of Psy- chiatry and Neurology Kaiser Permanente Sunny- Child and Brandon M Duft, (Psychi; American Board side Medical Center; Kaiser Not M Y Adolescent Y N MD of Psychiatry and Neu- Permanente Westside Medical required Psychiatry rology (Child/; Ameri- Center can Board of Pediatrics American Board of Psy- chiatry and Neurology Kaiser Permanente Sunny- Brandon M Duft, Mental (Psychi; American Board side Medical Center; Kaiser Not M Y Y N MD Health of Psychiatry and Neu- Permanente Westside Medical required rology (Child/; Ameri- Center can Board of Pediatrics Sudheer V Addiction American Board of Fam- Not M Y None Y N Earanky, DO Medicine ily Medicine required Kaiser Permanente Sunny- American Board of Psy- Jonathan J Mental side Medical Center; Kaiser Not M N chiatry and Neurology Y N Ebbing, MD Health Permanente Westside Medical required (Psychi Center Theresa A Mental Not F Y Not Applicable None Y N Ferrante, LCSW Health required Kaiser Permanente Sunny- Christine F Addiction side Medical Center; Kaiser Not F Y Not Applicable Y N Finucane, LCSW Medicine Permanente Westside Medical required Center Mental Not Laura K Fisk, PsyD F Y Not Applicable None Y N Health required Kaiser Permanente Sunny- National Commission Addiction side Medical Center; Kaiser Not Lucile Gauger, PA F Y on Certification of Phys Y N Medicine Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- American Board of Psy- Mental side Medical Center; Kaiser Not Rafael Gray, MD M Y chiatry and Neurology Y N Health Permanente Westside Medical required (Psychi Center Nancy A Green, Mental Not F Y Not Applicable None Y N LCSW Health required Isaiah L Green- Mental Not M Y Not Applicable None Y N Jones, LCSW Health required Kathleen M Mental Not F Y Not Applicable None Spanish Y N Hanson, LCSW Health required

Page 52 19414_09-21 National Board for Certified Counselors; Mental Not Paige L Hirt, LPC F Y Addiction Counselor None Y N Health required Certification Board of Oregon Lynn L Johnson, Mental Not F Y Not Applicable None Y N LPC Health required American Board of Psy- Mental Not Simrun I Kaur, MD F Y chiatry and Neurology None Y N Health required (Psychi Sara J Kluge, Mental Not F Y Not Applicable None Y N LCSW Health required Laurie A Kress, Mental Kaiser Permanente Sunnyside Not F Y Not Applicable Y N LCSW Health Medical Center required John P Kuzma, Mental Not M Y Not Applicable None Y N LCSW Health required American Board of Ad- Kaiser Permanente Sunny- Addiction diction Medicine; Amer- side Medical Center; Kaiser Not Sarah J Leitz, MD F Y Y N Medicine ican Board of Internal Permanente Westside Medical required Medicine Center Tonya K Lippert, Mental Not F Y Not Applicable None Y N LCSW Health required Emily M Ludwig, Mental Not F Y Not Applicable None Y N LCSW Health required Beth C Magee, Addiction Not F Y None Y N CDC Medicine required Kaiser Permanente Sunny- Kyle L Malin, Mental side Medical Center; Kaiser Not F Y Not Applicable Y N CADC I Health Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Psy- Michael N Mental side Medical Center; Kaiser Not M Y chiatry and Neurology Y N Marcus, MD Health Permanente Westside Medical required (Psychi Center Kaiser Permanente Sunny- National Commission Laurie A Merlino, Addiction side Medical Center; Kaiser Not F Y on Certification of Phys Y N PA-C Medicine Permanente Westside Medical required Assis Center

Page 53 19414_09-21 Kaiser Permanente Sunny- Child and American Board of Psy- Rodica N Meyer, side Medical Center; Kaiser Not F Y Adolescent chiatry and Neurology Y N MD Permanente Westside Medical required Psychiatry (Psychi Center Kaiser Permanente Sunny- American Board of Psy- Rodica N Meyer, Mental side Medical Center; Kaiser Not F Y chiatry and Neurology Y N MD Health Permanente Westside Medical required (Psychi Center Sarah G Meyer, Mental Not F Y Not Applicable None Y N LCSW Health required American Board of Psy- Olga Milgrom, Mental Not F Y chiatry and Neurology None Y N MD Health required (Psychi American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- Darian V Mental side Medical Center; Kaiser Not M Y ogy (Geriat; American Y N Minkunas, MD Health Permanente Westside Medical required Board of Psychiatry and Center Neurology (Psychi Carolyn D Morris, Mental American Nurses Cre- Not F Y None Y N PMHNP Health dentialing Center required Jeffrey R Mosher, Mental Not M Y Not Applicable None Y N PsyD Health required James D O’Hern, Addiction Certified Alcohol Drug Kaiser Permanente Sunnyside Not M Y Y N CADC I Medicine Counselor I Medical Center required Jeffrey D Mental Not M Y Not Applicable None Y N Obermeier, LPC Health required Elijah C Pahl, Mental Not M Y Not Applicable None Y N LCSW Health required Kaiser Permanente Sunny- American Board of Psy- Thomas A Mental side Medical Center; Kaiser Not M Y chiatry and Neurology Y N Passmore, DO Health Permanente Westside Medical required (Psychi Center Hannah M Addiction American Academy of Not F Y None Y N Peterson, NP Medicine Nurse Practitioners required Anderson L Rice, Addiction Kaiser Permanente Sunnyside Not M Y Not Applicable Y N LPC Medicine Medical Center required Mai K Rosenberry, Mental Not F Y Not Applicable None Y N LCSW Health required

Page 54 19414_09-21 Jessica R Rucker, Mental Not F Y Not Applicable None Y N PsyD Health required Ronald D Mental Not M Y Not Applicable None Y N Sandoval, PhD Health required Salena M Mental Not F Y Not Applicable None Y N Schwartz, LCSW Health required Ladawn D Mental Not F Y Not Applicable None Y N Sheffield, LPC Health required Skip L Shewell, Mental Not M Y Not Applicable None Y N LPC Health required William H Soles, Mental National Board for Cer- Not M Y None Y N LPC Health tified Counselors required Kaiser Permanente Sunny- American Board of Psy- Pavan Somusetty, Mental side Medical Center; Kaiser Not M Y chiatry and Neurology Y N MD Health Permanente Westside Medical required (Psychi Center Kaiser Permanente Sunny- Katherine A Mental side Medical Center; Kaiser Not F Y Not Applicable Y N Soyars, LCSW Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Oxsana V Addiction side Medical Center; Kaiser Not F Y Not Applicable Y N Stenersen, LCSW Medicine Permanente Westside Medical required Center Lauren E Stoner, Mental Not F Y Not Applicable None Y N LCSW Health required Kaiser Permanente Sunny- Matthew P Addiction side Medical Center; Kaiser Not Svymbersky, M Y Not Applicable Y N Medicine Permanente Westside Medical required LCSW Center Kaiser Permanente Sunny- Mental American Board of Psy- side Medical Center; Kaiser Not Slater Tai, MD M Y Y N Health chiatry and Neurology Permanente Westside Medical required Center Kevin D Tomlin, Addiction National Board for Cer- Not M Y None Y N LMHC Medicine tified Counselors required Heidi H Travis, Mental Not F Y None Y N LPC Health required

Page 55 19414_09-21 Mental Certified Alcohol Drug Not Elisa A Uris, LCSW F Y None Y N Health Counselor I required Bethany R Mental Not F Y Not Applicable None Y N Wilhelm, LCSW Health required American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- John C Wilson, Mental side Medical Center; Kaiser Not M Y ogy (Geriat; American Y N MD, PhD Health Permanente Westside Medical required Board of Psychiatry and Center Neurology (Psychi Karla M Zehren, Mental Not F Y Not Applicable None Y N LCSW Health required

Interstate Medical Offices South 3500 N Interstate Ave Portland, OR. 97227 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid American Board of Podi- atric Medicine; Ameri- May be Jana Balas, DPM F Y Podiatry None Y N can Board of Foot and required Ankle Surgery Kaiser Permanente Sunny- American Board of Nourolhoda side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y Birouti, MD Permanente Westside Medical required Radiology) Center American Osteopathic Kaiser Permanente Sunny- Board of Orthopedic Hisham A Bismar, side Medical Center; Kaiser May be M Y Orthopedics Surgery (; American Y Y DO Permanente Westside Medical required Osteopathic Board of Center Orthopedic Surgery Kaiser Permanente Sunny- National Commission Todd D Blakley, side Medical Center; Kaiser May be M Y Orthopedics on Certification of Phys Y Y PA Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- American Board of Christa B Blecher, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center

Page 56 19414_09-21 Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Clark J Brixey, MD M Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Josephine O Cho, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Teran W Colen, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center American Board of Robert M Davis, Occupation- Not M Y Preventive Medicine None Y Y MD al Medicine required (Occupationa Kaiser Permanente Sunny- American Board of Brian L Dunkley, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Osteopathic Kaela K Frizzell side Medical Center; Kaiser May be F Y Orthopedics Board of Orthopedic Y N Hutchinson, DO Permanente Westside Medical required Surgery Center American Board of Kaiser Permanente Sunny- Radiology (Neuroradiol- Jonathan A side Medical Center; Kaiser May be M Y Radiology ogy); American Board of Y Y Helwig, MD Permanente Westside Medical required Radiology (Diagnostic Center Radiology) Kaiser Permanente Sunny- American Board of Belinda C side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y Holland, MD Permanente Westside Medical required Radiology) Center American Board of Dianna Y Howard, May be F Y Radiology Radiology (Diagnostic None Y Y MD required Radiology) Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Janice C Hsu, MD F Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center

Page 57 19414_09-21 Kaiser Permanente Sunny- American Board of Susan A Huang, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Hassan Irshad, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be James Y Kim, MD M Y Physiatry Physical Medicine/ Y Y Permanente Westside Medical required Rehabilitation Center American Board of Kaiser Permanente Sunny- Orthopaedic Surgery; side Medical Center; Kaiser May be Lucie Krenek, MD F Y Orthopedics Y Y American Board of Or- Permanente Westside Medical required thopaedic Surgery Center Kaiser Permanente Sunny- American Board of Kevin C La Cour, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- Penelope D Lang, American Board of Or- side Medical Center; Kaiser May be F Y Orthopedics Y Y MD thopaedic Surgery Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Podiatric Surgery (Re- Steven E Laxson, side Medical Center; Kaiser May be M Y Podiatry construct R; American Y Y DPM Permanente Westside Medical required Board of Podiatric Sur- Center gery (Foot Surgery) Kaiser Permanente Sunny- Karin L American Board of Or- side Medical Center; Kaiser May be F Y Orthopedics Y Y Ljungquist, MD thopaedic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Mina Lotfi, MD F Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Minh C Nguyen, side Medical Center; Kaiser May be M Y Physiatry Physical Medicine/ Y Y MD, MPH Permanente Westside Medical required Rehabilitation Center

Page 58 19414_09-21 Kaiser Permanente Sunny- American Board of Dorothy M Pao, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- National Commission Jonathan S Riggs, side Medical Center; Kaiser May be M Y Orthopedics on Certification of Phys Y Y PA-C Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- American Board of Scott A Sandberg, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center American Board of John P Seymour, Occupation- Not M Y Preventive Medicine None Y Y MD, MPH al Medicine required (Occupationa Kaiser Permanente Sunny- American Board of Joseph P Shen, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center American Board of Stephen Shen, May be M Y Radiology Radiology (Diagnostic None Y N MD required Radiology) Kaiser Permanente Sunny- National Commission Amanda M Smith, side Medical Center; Kaiser May be F Y Orthopedics on Certification of Phys Y Y PA Permanente Westside Medical required Assis Center National Commission Zachary T May be M Y Orthopedics on Certification of Phys None Y Y Symmes, PA-C required Assis Kaiser Permanente Sunny- Obinna C Ugwu- American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y Oju, MD thopaedic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Zsoka E Vajtai, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- Thilo R Weissflog, American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y MD thopaedic Surgery Permanente Westside Medical required Center

Page 59 19414_09-21 Kaiser Permanente Sunny- John C American Nurses Cre- side Medical Center; Kaiser May be M Y Orthopedics Y Y Workinger, FNP dentialing Center Permanente Westside Medical required Center

Interstate Medical Offices South 3500 N Interstate Ave Portland, OR. 97227 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Sara J Kluge, Mental Not F Y Not Applicable None Y N LCSW Health required Sarah G Meyer, Mental Not F Y Not Applicable None Y N LCSW Health required

Interstate Radiation Oncology Center 3620 N Interstate Ave Portland, OR. 97227 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- American Board of Katie A Deming, Radiation side Medical Center; Kaiser May be F Y Radiology (Radiation Y Y MD Oncology Permanente Westside Medical required Oncology) Center Kaiser Permanente Sunny- Rebecca J Otolaryngol- American Board of side Medical Center; Kaiser May be F Y Y Y Hammon, MD ogy Otolaryngology Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Stephen C Radiation side Medical Center; Kaiser May be M Y Radiology (Radiation Y Y Hoffelt, MD Oncology Permanente Westside Medical required Oncology) Center American Board of Kathleen B Jaffe, Radiation May be F Y Radiology (Radiation None Y N MD, MPH Oncology required Oncology)

Page 60 19414_09-21 Kaiser Permanente Sunny- American Board of Thomas H Radiation side Medical Center; Kaiser May be M Y Radiology (Therapeutic Y Y Johnson, MD Oncology Permanente Westside Medical required Radiology Center Kaiser Permanente Sunny- American Board of Tasha L Radiation side Medical Center; Kaiser May be F Y Radiology (Radiation Y Y McDonald, MD Oncology Permanente Westside Medical required Oncology) Center Kaiser Permanente Sunny- American Board of Jaishanker Radiation side Medical Center; Kaiser May be M Y Radiology (Radiation Y Y Nautiyal, MD Oncology Permanente Westside Medical required Oncology) Center Kaiser Permanente Sunny- American Board of Thomas D Wynne, Radiation side Medical Center; Kaiser May be M Y Radiology (Radiation Y Y MD Oncology Permanente Westside Medical required Oncology) Center

Kaiser Permanente McMinnville Primary Care 2700 SE Stratus Ave Ste 405 McMinnville, OR. 97128 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Beata J Anasz- Internal American Board of Not F N None Y Y Kopecka, MD Medicine Internal Medicine required Tiffany J Gilbey, Family American Academy of Not F Y None Y N FNP Medicine Nurse Practitioners required

Keizer Station Medical Offices 5940 Ulali Dr NE Keizer, OR. 97303 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Jane-Frances A Family American Board of Fam- Not F Y None Y Y Akpamgbo, MD Medicine ily Medicine required

Page 61 19414_09-21 Kaiser Permanente Sunny- Caroline L King- Family American Board of Fam- side Medical Center; Kaiser Not F N Y Y Widdall, MD Medicine ily Medicine Permanente Westside Medical required Center Mark N Margoles, Family American Board of Fam- Not M N None Y Y MD Medicine ily Medicine required Joshua M Family American Board of Fam- Not M N None Y Y Meador, DO Medicine ily Medicine required American Board of Andrew J Pasetti, Family Obesity Medicine; Not M Y None Y Y DO Medicine American Board of Fam- required ily Medicine Cheryl F Sacco, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required American Osteopath- Jessica L Smiley, Family Not F Y ic Board of Family None Y Y DO Medicine required Medicine Kaiser Permanente Sunny- Leslie A Family American Osteopathic side Medical Center; Kaiser Not F Y Y Y Sorweide, DO Medicine Board of Family Practice Permanente Westside Medical required Center Bethany C Family American Board of Fam- Not F Y None Y Y Wohletz, MD Medicine ily Medicine required

Keizer Station Medical Offices 5940 Ulali Dr NE Keizer, OR. 97303 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- Philip B Mental American Board of Psy- side Medical Center; Kaiser Not M Y Y N Anderson, MD Health chiatry and Neurology Permanente Westside Medical required Center Kaiser Permanente Sunny- Shawn R Criswell, Mental side Medical Center; Kaiser Not F Y Not Applicable Y N LPC Health Permanente Westside Medical required Center

Page 62 19414_09-21 Shawn M Croskey, Mental National Board for Cer- Not M Y None Y N LPC Health tified Counselors required Addiction Counselor Jesse J Decker, Addiction Not M Y Certification Board of None Y N CADC I Medicine required Oregon Ward A Lofgren, Mental Not M Y Not Applicable None Y N LPC Health required Mechelle M Mental Not F Y Not Applicable None Y N Millmaker, LPC Health required Belinda R Pearl, Mental National Board for Cer- Not F Y None Y N LCSW Health tified Counselors required Muni S Reddy, Addiction Not F Y None Y N CADC I Medicine required Jose Rodriguez, Mental Not M Y Not Applicable None Spanish Y N LPC Health required Kimberley R Mental Not F Y Not Applicable None Y N Savage, PhD Health required

Longview-Kelso Medical/Dental Offices 1230 7th Ave Longview, WA. 98632 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- Michael S Alberts, General American Board of side Medical Center; Kaiser May be M Y Y N MD, PhD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- side Medical Center; Kaiser Joseph B Ophthalmol- American Board of May be M Y Permanente Westside Medical Y N Alsberge, MD ogy Ophthalmology required Center; Legacy Salmon Creek Medical Center American Board of Carl B Anderson, Occupation- Not M Y Preventive Medicine None Y Y MD al Medicine required (Occupationa

Page 63 19414_09-21 American Board of Richard D Occupation- Not M Y Preventive Medicine None Y N Baertlein, MD al Medicine required (Occupationa Kaiser Permanente Sunny- side Medical Center; Kaiser Bennett E Barch, Otolaryngol- American Board of May be M Y Permanente Westside Medical Y N MD ogy Otolaryngology required Center; Legacy Salmon Creek Medical Center Jennifer L Bard, Family American Board of Fam- PeaceHealth St. John Medical Not F N Y N MD Medicine ily Medicine Center-Longview required National Commission Milenna D Bell, Family Not F Y on Certification of Phys None Y N PA-C Medicine required Assis Kaiser Permanente Sunny- side Medical Center; Kaiser Adam F Braganza, Ophthalmol- American Board of Permanente Westside Medical May be M Y Y N MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University National Certification Melissa L Not F N Pediatrics Board of Pediatric Nurse None Y N Burchett, CPNP required Pr Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Daniel E Carl, MD M Y Nephrology Internal Medicine Permanente Westside Medical Y N required (Nephrology) Center; Legacy Salmon Creek Medical Center Francisco M Chan Family American Board of Fam- Not M N None Y N Jr, MD Medicine ily Medicine required Po-Shen Chang, Family American Board of Fam- PeaceHealth St. John Medical Not M N Y N MD Medicine ily Medicine Center-Longview required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Sean J Clark, MD M Y Urology Y Y Urology Permanente Westside Medical required Center; Salem Hospital American Board of In- Kaiser Permanente Sunny- ternal Medicine (Critical side Medical Center; Kaiser Care; American Board of May be Ryan D Clay, MD M Y Pulmonology Permanente Westside Medical Y N Internal Medicine; Amer- required Center; Legacy Salmon Creek ican Board of Internal Medical Center Medicine (Pulmonary Dis

Page 64 19414_09-21 National Commission Justin D Curran, Family Not M Y on Certification of Phys None Y N PA-C Medicine required Assis Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser Lissa C Daimaru- American Board of Ob- Not F Y rics and Permanente Westside Medical Y N Enoki, MD stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center Megan C Dudley, American Board of Not F Y Pediatrics None Y N MD Pediatrics required American Board of In- Kaiser Permanente Sunny- Hematol- ternal Medicine; Amer- side Medical Center; Kaiser Robert B Ellis, May be M Y ogy and ican Board of Internal Permanente Westside Medical Y N DO, PhD required Oncology Medicine (Medical Center; Legacy Salmon Creek Oncol Medical Center National Commission Matthew R Elyea, Family Not M Y on Certification of Phys None Y N PA Medicine required Assis American Board of In- Kaiser Permanente Sunny- ternal Medicine; Amer- Matthew J Flynn, side Medical Center; Kaiser May be M Y Pulmonology ican Board of Internal Y Y MD Permanente Westside Medical required Medicine (Pulmonary Center Dis Jeffrey A Fries, Not M Y Optometry Not Applicable None Y N OD required Kaiser Permanente Sunny- Siobhan H Gray, American Board of side Medical Center; Kaiser May be F Y Cardiology Y Y MD Internal Medicine Permanente Westside Medical required Center Obstet- Kaiser Permanente Sunnyside Robert C Haugen, American Board of Ob- Not M Y rics and Medical Center; Legacy Salm- Y N MD stetrics and Gynecology required Gynecology on Creek Medical Center American Osteopath- Internal Not Yan Lin He, DO F N ic Board of Internal None Y N Medicine required Medicine Kaiser Permanente Sunny- Christine N General American Board of side Medical Center; Kaiser May be F Y Y N Henderson, MD Surgery Surgery Permanente Westside Medical required Center

Page 65 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Craig S Hersh, American Board of May be M Y Dermatology Permanente Westside Medical Y N MD Dermatology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Otolaryngol- American Board of side Medical Center; Kaiser May be Justin W Holt, MD M Y Y Y ogy Otolaryngology Permanente Westside Medical required Center American Board of Internal Medicine (Adv Heart Fai; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser Timothy D May be M Y Cardiology Medicine (Cardiovas- Permanente Westside Medical Y Y Jacobson, MD required cula; American Board Center; Legacy Salmon Creek of Internal Medicine; Medical Center National Board of Echocardiography Kendra H Not F Y Optometry Not Applicable None Y N Kallemeyn, OD required Kaiser Permanente Sunny- Cara M Katzer, Otolaryngol- American Board of side Medical Center; Kaiser May be F Y Y Y MD ogy OHNS Permanente Westside Medical required Center Family American Board of Fam- PeaceHealth St. John Medical Not Grace K Kaw, MD F N Y N Medicine ily Medicine Center-Longview required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Vandana Khurma, Rheumatol- May be F Y Internal Medicine Permanente Westside Medical Y Y MD ogy required (Rheumatology) Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- side Medical Center; Kaiser James B Kilway General American Board of May be M Y Permanente Westside Medical Y N II, MD Surgery Surgery required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Michael K Lam, American Board of side Medical Center; Kaiser May be M Y Urology Y N MD Urology Permanente Westside Medical required Center

Page 66 19414_09-21 Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Dale F May be M Y Cardiology Internal Medicine Permanente Westside Medical Y N Lamberton, MD required (Cardiovascula Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Kathryn A Leavitt, Otolaryngol- American Board of side Medical Center; Kaiser May be F Y Y Y MD ogy Otolaryngology Permanente Westside Medical required Center Kaiser Permanente Sunny- side Medical Center; Kaiser Ophthalmol- American Board of Permanente Westside Medical May be Daniel Y Lee, MD M Y Y N ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Obstet- Women’s Health Care Cheryl J Leonard, Not F Y rics and Nurse Practitioner, None Y N WHCNP required Gynecology Certfiied American Board of Kevin C Loh, DO, Occupation- Not M Y Preventive Medicine None Y N MPH al Medicine required (Occupationa Obstet- Kaiser Permanente Sunnyside Mary H American Board of Ob- Not F Y rics and Medical Center; Legacy Salm- Y N Ludwiczak, MD stetrics and Gynecology required Gynecology on Creek Medical Center Family American Board of Fam- Not Mark Lussier, MD M Y None Y N Medicine ily Medicine required Kaiser Permanente Sunny- American Board of Martha L Maclin, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- Branaven side Medical Center; Kaiser May be M Y Neurology ogy (Neurol; American Y N Mahadeva, MD Permanente Westside Medical required Board of Psychiatry and Center Neurology (Neurom Lea E Manlapaz- American Board of Legacy Salmon Creek Medical Not F Y Pediatrics Y N Villavicencio, MD Pediatrics Center required Kaiser Permanente Sunny- Mary M Family American Board of Fam- side Medical Center; Kaiser Not F N Y N McClelland, MD Medicine ily Medicine Permanente Westside Medical required Center

Page 67 19414_09-21 Asmarawork T Family American Academy of Not F Y None Y N Measho, ARNP Medicine Nurse Practitioners required Michelle M Occupation- May be F Y Not Applicable None Y N Merzoian, OT al Therapy required American Board of In- ternal Medicine; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser Susan L May be F Y Pulmonology Medicine (Pulmonary Permanente Westside Medical Y Y Mikkelsen, MD required Dis; American Board of Center; Legacy Salmon Creek Internal Medicine (Criti- Medical Center cal Care Kaiser Permanente Sunny- side Medical Center; Kaiser Shawn K Nash, Ophthalmol- American Board of May be M Y Permanente Westside Medical Y N DO ogy Ophthalmology required Center; Legacy Salmon Creek Medical Center Rebekah B Family American Nurses Cre- Not F N None Y N Nelson, FNP Medicine dentialing Center required Olubukola O American Board of Legacy Salmon Creek Medical Not F Y Pediatrics Y N Okafor, MD Pediatrics Center required American Osteopath- Helena L Pang, Internal Not F Y ic Board of Internal None Y N DO Medicine required Medicine Kaiser Permanente Sunny- side Medical Center; Kaiser American Board of Permanente Westside Med- May be Eric S Reid, MD M Y Urology Y Y Urology ical Center; Legacy Salmon required Creek Medical Center; Salem Hospital Kaiser Permanente Sunny- John M Roberts, General American Board of side Medical Center; Kaiser May be M Y Y N MD Surgery Surgery Permanente Westside Medical required Center Mindy L Seybold, Family American Academy of May be F Y None Y N FNP-C Medicine Nurse Practitioners required American Board of John P Seymour, Occupation- Not M Y Preventive Medicine None Y Y MD, MPH al Medicine required (Occupationa

Page 68 19414_09-21 American Board of In- Internal PeaceHealth St. John Medical Not John C Shaw, MD M N ternal Medicine; Ameri- Y N Medicine Center-Longview required can Board of Pediatrics Obstet- Courtney N American Board of Ob- Kaiser Permanente Sunnyside Not F Y rics and Y N Simpson, MD stetrics and Gynecology Medical Center required Gynecology Kaiser Permanente Sunny- American Board of Jessica A Smith, side Medical Center; Kaiser May be F Y Dermatology Dermatology; American Y N MD Permanente Westside Medical required Board of Dermatology Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Rheumatol- May be Erin K Snell, MD F Y Internal Medicine Permanente Westside Medical Y Y ogy required (Rheumatology) Center; Legacy Salmon Creek Medical Center Lydia L Stender, Not F Y Optometry Not Applicable None Y N OD required Andrea K Street, May be F Y Nutrition None Y N LD required AANP Family Melissa J Strom, Family Not F N Nurse Practitioner None Y N ARNP Medicine required Certification Kaiser Permanente Sunny- National Commission Scott A Tabish, General side Medical Center; Kaiser May be M Y on Certification of Phys Y N PA-C Surgery Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- National Commission Carolyn M side Medical Center; Kaiser May be F Y Cardiology on Certification of Phys Y N Thomas, PA Permanente Westside Medical required Assis Center American Board of In- ternal Medicine; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser May be Jerry M Tran, MD M Y Pulmonology Medicine (Critical Care; Permanente Westside Medical Y Y required American Board of In- Center; Legacy Salmon Creek ternal Medicine (Pulmo- Medical Center nary Dis National Commission Family Not Ellie R Wells, PA-C F N on Certification of Phys None Y N Medicine required Assis

Page 69 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Jeffery C Wheat, American Board of Permanente Westside Med- May be M Y Urology Y N MD Urology ical Center; Legacy Salmon required Creek Medical Center; Salem Hospital Kaiser Permanente Sunny- side Medical Center; Kaiser Ashley G Winter, American Board of May be F Y Urology Permanente Westside Medical Y N MD Urology required Center; Legacy Salmon Creek Medical Center Obstet- Kaiser Permanente Sunnyside Gregory A American Board of Ob- Not M Y rics and Medical Center; Legacy Salm- Y N Wolgamott, MD stetrics and Gynecology required Gynecology on Creek Medical Center

Longview-Kelso Medical/Dental Offices 1230 7th Ave Longview, WA. 98632 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Victor W Boomer- Addiction Not M Y Not Applicable None Y N Jenks, LCSW Medicine required Sarah L Burnett Mental Not F Y Not Applicable None Y N Keller, LICSW Health required Kaiser Permanente Sunny- American Board of Psy- Bonnie S Huber, Mental side Medical Center; Kaiser Not F Y chiatry and Neurology Y N MD Health Permanente Westside Medical required (Psychi Center Joyce L London, Mental Not F Y Not Applicable None Y N LICSW Health required Lisa D Mitchell, Mental Not F Y Not Applicable None Y N LICSW Health required Rebecca S Mooty, Mental Not F Y Not Applicable None Y N LCSW Health required Autumn L Mental Not Neuenschwander, F Y Not Applicable None Y N Health required LICSW

Page 70 19414_09-21 Dennis C Park, Addiction Not M Y Not Applicable None Y N CADC III Medicine required Kaiser Permanente Sunny- American Board of Psy- Bradley W Strong, Mental side Medical Center; Kaiser Not M Y chiatry and Neurology Y N MD Health Permanente Westside Medical required (Psychi Center Jacob A Mental Not Timmerman, M Y Not Applicable None Y N Health required LMFT Julie H Wiesner, Mental Not F Y Not Applicable None Y N LICSW Health required Mercedes D Mental Not F Y Not Applicable None Y N Wilder, LCSW Health required Edward G Mental American Nurses Cre- Not Worsman, M Y None Y N Health dentialing Center required PMHNP Jennifer Wycoff, Mental Not F Y Not Applicable None Y N LMHC Health required

Mill Plain One Medical Offices 203 SE Park Plaza Dr Ste 140 Vancouver, WA. 98684 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid American Board of Richard D Occupation- Not M Y Preventive Medicine None Y N Baertlein, MD al Medicine required (Occupationa American Board of Podi- atric Medicine; Ameri- May be Jana Balas, DPM F Y Podiatry None Y N can Board of Foot and required Ankle Surgery Matthew R American Board of Pre- Occupation- Not Campbell, MD, M Y ventive Medicine (Public None Y N al Medicine required MPH Heal

Page 71 19414_09-21 American Board of Kaiser Permanente Sunny- Orthopaedic Surgery; James B Cowan, side Medical Center; Kaiser May be M Y Orthopedics American Board of Y N MD Permanente Westside Medical required Orthopaedic Surgery Center (Sports Medi Kaiser Permanente Sunny- American Osteopathic Kaela K Frizzell side Medical Center; Kaiser May be F Y Orthopedics Board of Orthopedic Y N Hutchinson, DO Permanente Westside Medical required Surgery Center Kaiser Permanente Sunny- Nathan W American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y N Greene, MD thopaedic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Jacob W Heck, side Medical Center; Kaiser May be M Y Podiatry Podiatric Surgery (Foot Y N DPM Permanente Westside Medical required Surgery) Center Kaiser Permanente Sunny- Michael W Hibbs, side Medical Center; Kaiser May be M Y Orthopedics Y N PA Permanente Westside Medical required Center American Board of Amy L Hinrichs, Occupation- Not F Y Preventive Medicine None Y N MD al Medicine required (Occupationa American Board of Kevin C Loh, DO, Occupation- Not M Y Preventive Medicine None Y N MPH al Medicine required (Occupationa Kaiser Permanente Sunny- National Commission Samuel C Lopez, side Medical Center; Kaiser May be M Y Orthopedics on Certification of Phys Y N PA-C Permanente Westside Medical required Assis Center American Board of Kaiser Permanente Sunny- Foot and Ankle Surgery Anthony V side Medical Center; Kaiser May be M Y Podiatry (Reconstr; American Y N Maiolino, DPM Permanente Westside Medical required Board of Foot and Ankle Center Surgery (Foot Sur Kerry A Matthews, American Board of Fam- May be F Y Orthopedics None Y N MD ily Medicine required

Page 72 19414_09-21 American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Joshua H Nelson, May be M Y Nephrology (Nephrology); Ameri- Permanente Westside Medical Y N MD required can Board of Internal Center; Legacy Salmon Creek Medicine Medical Center American Board of Kaiser Permanente Sunny- Orthopaedic Surgery side Medical Center; Kaiser May be Anita G Rao, MD F Y Orthopedics (Sports Medi; American Y N Permanente Westside Medical required Board of Orthopaedic Center Surgery American Board of Fam- May be Eric B Schub, DO M Y Orthopedics None Y N ily Medicine required American Board of Internal Medicine (Ne- Kaiser Permanente Sunny- phrology); American side Medical Center; Kaiser May be Cynthia Tai, MD F Y Nephrology Y N Board of Internal Medi- Permanente Westside Medical required cine; American Board of Center Internal Medicine Kaiser Permanente Sunny- American Osteopathic Douglas S side Medical Center; Kaiser May be M Y Orthopedics Board of Orthopedic Y N Whitten, DO Permanente Westside Medical required Surgery Center American Board of Kaiser Permanente Sunny- Podiatric Surgery (Re- James A Wright, side Medical Center; Kaiser May be M Y Podiatry construct R; American Y N DPM Permanente Westside Medical required Board of Podiatric Sur- Center gery (Foot Surgery) American Board of Internal Medicine James J Yoon, May be M Y Nephrology (Nephrology); Ameri- None Y N MD required can Board of Internal Medicine

Page 73 19414_09-21 Montgomery Park Offices 2701 NW Vaughn St Ste 140 Portland, OR. 97210 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid American Board of Internal Medicine Not Amber R An, DO F Y Geriatrics (Geriatric Med; Amer- None Y Y required ican Board of Internal Medicine Hospice/ May be Lucia Botez, PT F Y None Y N Home Health required Heidi M Bours, American Board of Not F Y Geriatrics None Y Y MD Internal Medicine required Jennifer L Brooks, Hospice/ May be F Y None Y N PT Home Health required Katherine E Hospice/ May be F Y None Y N Danforth, OT Home Health required American Board of Internal Medicine Helen S Duewel, Not F Y Geriatrics (Geriatric Med; Amer- None Y Y MD required ican Board of Internal Medicine Kathryn M Hunter, Hospice/ May be F Y None Y N RD Home Health required Megan C Hospice/ May be F Y Not Applicable None Y Y Lammers, LCSW Home Health required Kaiser Permanente Sunny- Cheryl A Layne, American Board of side Medical Center; Kaiser Not F Y Geriatrics Y Y MD Internal Medicine Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Margo A Internal Medicine side Medical Center; Kaiser Not McGehee-Kelly, F N Geriatrics (Hospice & Pal; Amer- Y Y Permanente Westside Medical required MD ican Board of Internal Center Medicine

Page 74 19414_09-21 Kara W Morris, Hospice/ May be F Y None Y N SL P.D Home Health required Katherine C Hospice/ May be F Y None Y N Noble, PT Home Health required Kristin S Nyboer, Hospice/ May be F Y None Y N SLP Home Health required American Board of Fam- Kaiser Permanente Sunny- Danna J Ogden, ily Medicine (Hospice & side Medical Center; Kaiser Not F N Geriatrics Y Y DO Palli; American Board of Permanente Westside Medical required Family Medicine Center Kirstin J Pauken, Hospice/ May be F Y None Y N PT Home Health required American Board of In- Preston L ternal Medicine; Amer- Not M Y Geriatrics None Y Y Peterson, MD ican Board of Internal required Medicine (Geriatric Med Patricia J Regan, Hospice/ May be F Y None Y N RD Home Health required Jodi K Hospice/ May be F Y None Y N Settelmeyer, PT Home Health required Czarino P Silao, Hospice/ May be M Y None Y N PT Home Health required Christopher M Hospice/ May be M Y None Y N Sprinzyk, LD Home Health required Jean M Stager, May be F Y Geriatrics None Y N LCSW required American Board of Internal Medicine Robin M Telerant, Not F Y Geriatrics (Geriatric Med; Amer- None Y Y MD required ican Board of Internal Medicine Sara A Ulrich, Hospice/ May be F Y None Y N MSPT Home Health required Jarod F Hospice/ May be M Y None Y N Vermeesch, PT Home Health required Hospice/ May be Melissa Vidoni, PT F Y None Y N Home Health required Rebecca Vilevac, Hospice/ May be F Y None Y N PT Home Health required

Page 75 19414_09-21 Jenny L Wadman, Hospice/ May be F Y None Y N PT Home Health required American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Not Tracy Walker, MD F N Geriatrics (Hospice & Pal; Amer- Y Y Permanente Westside Medical required ican Board of Internal Center Medicine Hannah Hospice/ May be F Y None Y N Winchester, PT Home Health required Karen L Wisner, Hospice/ May be F Y None Y N PT Home Health required

Mt. Scott Medical Offices 9800 SE Sunnyside Rd Clackamas, OR. 97015 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Ellany C Adams, May be F Y Social Work None Y N LCSW required American Osteopath- Margaret B Internal Not F N ic Board of Internal None Y Y Algranati, MD Medicine required Medicine Ashley B Austin, Family American Board of Fam- Not F N None Y Y MD Medicine ily Medicine required American Board of In- Nathaniel S Baer, ternal Medicine; Amer- May be M Y Orthopedics None Y Y MD ican Board of Internal required Medicine (Sports Medici National Commission Reda T Bassaly, Family Not M Y on Certification of Phys None Y Y PA-C Medicine required Assis Carla J Bowman, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required Kelsey M Brody, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required

Page 76 19414_09-21 James P Burke, American Nurses Cre- Legacy Salmon Creek Medical Not M N Pediatrics Y Y ARNP dentialing Center Center required American Board of Fam- Family ily Medicine; American Not Lisa Burton, MD F Y None Y Y Medicine Board of Family Medi- required cine (Sports Medicine Patricia T American Board of Not F Y Pediatrics None Y Y Campbell, MD Pediatrics required Kaiser Permanente Sunny- Allison R Carroll, American Board of side Medical Center; Kaiser Not F Y Pediatrics Y Y MD Pediatrics Permanente Westside Medical required Center Lizelle Chandler, Hospice/ May be F Y None Y N OT Home Health required American Board of In- Kaiser Permanente Sunny- Christine E Choo, Internal ternal Medicine (Critical side Medical Center; Kaiser Not F N Y Y MD Medicine Care; American Board Permanente Westside Medical required of Internal Medicine Center National Commission Not Jon N Davis, PA F Y Pediatrics on Certification of Phys None Y Y required Assis Lesley DeFazio, Hospice/ May be F Y None Y N PT Home Health required Juan Miguel A Family American Board of Fam- Not M Y None Y Y Dela Cruz, MD Medicine ily Medicine required Kaiser Permanente Sunny- Jane O Internal American Board of side Medical Center; Kaiser Not F Y Y Y Drummond, MD Medicine Internal Medicine Permanente Westside Medical required Center Kaiser Permanente Sunny- Pediatric side Medical Center; Kaiser Rachel M Effros, American Board of May be F Y Newborn Permanente Westside Medical Spanish Y Y MD, MPH Pediatrics required Care Center; Legacy Salmon Creek Medical Center Lucy A Entenman, May be F Y Social Work None Y N MSW required Emma G Fite- Family American Board of Fam- Not F N None Y Y Wassilak, MD Medicine ily Medicine required

Page 77 19414_09-21 American Board of Internal Medicine Kellie R Foster, Internal Not F N (Geriatric Med; Amer- None Y Y MD Medicine required ican Board of Internal Medicine Helena Franco, American Board of Not F N Pediatrics None Y Y MD Pediatrics required Family American Board of Fam- Not Trixy J Franke, MD F N None Y Y Medicine ily Medicine required Denise Garcia, May be F Y Social Work None Y N MSW required Allison M Gerig, May be F Y Nutrition None Y N LD required Awbrey N Gilliam, American Board of Not F Y Pediatrics None Y N DO Pediatrics required Michaeline M American Board of Not F N Pediatrics None Y Y Greenlee, MD Pediatrics required American Board of Not Jim X Hall, MD M Y Pediatrics None Y Y Pediatrics required Mark A Harvey, Family American Board of Fam- Not M N None Y Y MD Medicine ily Medicine required Melissa H Internal American Board of Not F Y None Y Y Hayden, MD Medicine Internal Medicine required Kaiser Permanente Sunny- Michael J Hayes, Internal American Board of side Medical Center; Kaiser Not M Y Y Y MD Medicine Internal Medicine Permanente Westside Medical required Center Mara H Hegel, American Board of Not F Y Pediatrics None Y Y DO Pediatrics required Kaiser Permanente Sunny- Louis S Holmes, Internal American Board of side Medical Center; Kaiser Not M N Y Y MD Medicine Internal Medicine Permanente Westside Medical required Center Marisa Hopkins, May be F Y Social Work None Y N MSW required Stasha A May be F Y Nutrition None Y N Hornbeck, MS, RD required Christina M May be F Y Social Work None Y N Hostetler, LCSW required

Page 78 19414_09-21 Karin T Jacobson, Family American Board of Fam- Not F N None Y Y MD Medicine ily Medicine required American Board of Not Jay Joo, MD M Y Pediatrics None Y Y Pediatrics required Ronda G Keller, Internal American Board of Not F N None Y Y DO Medicine Internal Medicine required Cynthia M May be F Y Social Work None Y N Kirkpatrick, LCSW required Lara J Lackey, May be F Y Social Work None Y N MSW required Ileana K Lee, RD May be F Y Nutrition None Y N LD required Cassandra P American Board of Not F Y Pediatrics None Y N Loren, MD Pediatrics required American Board of Kaiser Permanente Sunnyside Not Jill M Lowers, MD F Y Pediatrics Y Y Pediatrics Medical Center required May be Leleng Lu, LCSW F Y Social Work None Y N required Kimberly F Luft, American Board of Not F N Pediatrics None Spanish Y Y MD Pediatrics required May be Erik J Lutz, MSW M Y Social Work None Y N required American Board of In- Family Not Annie S Mack, MD F Y ternal Medicine; Ameri- None Y Y Medicine required can Board of Pediatrics Kaiser Permanente Sunny- Kyle M Masters, Internal American Board of side Medical Center; Kaiser Not M Y Y Y MD Medicine Internal Medicine Permanente Westside Medical required Center Shawn E McCann, Family American Board of Fam- Not M Y None Y Y MD Medicine ily Medicine required Marie A Miles, American Board of Not F N Pediatrics OHSU/Doernbecher Childrens Y Y MD Pediatrics required Eugene P American Board of Not M Y Pediatrics OHSU/Doernbecher Childrens Y Y Nicholson IV, MD Pediatrics required Hospice/ May be Emily K Nolan, OT F Y None Y N Home Health required

Page 79 19414_09-21 James R O’Brien, Family American Board of Fam- Not M N None Spanish Y Y MD Medicine ily Medicine required Internal American Board of Not Albert S Oh, MD M N None Y Y Medicine Internal Medicine required American Board of Andrea L Payne Internal Obesity Medicine; Not F Y None Y Y Osterlund, DO Medicine American Board of required Internal Medicine American Board of Not Tracy J Peck, MD F Y Pediatrics None Y Y Pediatrics required Kelly A Probst, Internal American Board of Not M Y None Y Y DO Medicine Internal Medicine required Elizabeth P Hospice/ May be F Y None Y N Quigley, MSPT Home Health required Deborah L Rink, May be F Y Social Work None Y N MSW required American Board of Preventive Medicine Bartlomiej S Rog, Family Not M Y (Pub Health/; Amer- None Y Y MD, MPH Medicine required ican Board of Family Medicine Family American Board of Fam- Not Darbi L Seely, MD F Y None Y Y Medicine ily Medicine required Family American Board of Fam- Not Eric N Shamo, MD M N None Y Y Medicine ily Medicine required Jill E Sheasley, Family American Osteopathic Not F N None Y Y DO Medicine Board of Family Practice required David L Shenson, Internal American Board of Not M N None Y Y MD Medicine Internal Medicine required Charles F Stein IV, Family American Osteopathic Not M Y None Y Y DO Medicine Board of Family Practice required Randi-Leigh E May be F Y Social Work None Y N Swoboda, LCSW required Daniel S Internal American Board of Not M N None Y Y Tamashiro, MD Medicine Internal Medicine required Richard A Varan, Family American Board of Fam- Not M Y None Y Y MD Medicine ily Medicine required

Page 80 19414_09-21 Kaiser Permanente Sunny- Spanish; Linda T Vu- Internal American Board of side Medical Center; Kaiser Not F Y Vietnam- Y Y Holbrook, MD Medicine Internal Medicine Permanente Westside Medical required ese Center Madhvi Wanchu, Internal American Board of Not F N None Hindi Y Y MD Medicine Internal Medicine required Internal American Board of Kaiser Permanente Sunnyside Not Yue L Wang, MD F N Y Y Medicine Internal Medicine Medical Center required Sarah C White, May be F Y Social Work None Y N LCSW required National Commission Karl T Winston, Internal Not M Y on Certification of Phys None Y Y PA-C Medicine required Assis Tara R Workman, Family American Board of Fam- Not F N None Y Y MD Medicine ily Medicine required Mark A Wozniak, Internal American Board of Not M Y None Y Y MD Medicine Internal Medicine required Darren J Young, Internal American Board of Not M Y None Y Y MD Medicine Internal Medicine required American Board of Not Camille J Yu, MD F Y Pediatrics OHSU/Doernbecher Childrens Y Y Pediatrics required

Mt. Scott Medical Offices 9800 SE Sunnyside Rd Clackamas, OR. 97015 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Mental Not Jun Ying Ao, PsyD M Y Not Applicable None Y N Health required Ashley M Bauer, Addiction Certified Alcohol Drug Not F Y None Y N CADC II Medicine Counselor III required Kaiser Permanente Sunny- Mary E Beckman, Mental side Medical Center; Kaiser Not F Y Not Applicable Y N MA Health Permanente Westside Medical required Center

Page 81 19414_09-21 American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- Mark A Brown, Mental side Medical Center; Kaiser Not M N ogy (Sleep ; American Y N MD Health Permanente Westside Medical required Board of Psychiatry and Center Neurology (Psychi Mara M Mental Not Christensen, F Y Not Applicable None Y N Health required LCSW Kaiser Permanente Sunny- American Board of Psy- Mental side Medical Center; Kaiser Not My Chuong, MD F N chiatry and Neurology Y N Health Permanente Westside Medical required (Psychi Center American Board of Kaiser Permanente Sunny- Child and Psychiatry and Neurol- Anthony R side Medical Center; Kaiser Not M N Adolescent ogy (Psychi; American Y N Cordaro Jr, MD Permanente Westside Medical required Psychiatry Board of Psychiatry and Center Neurology (Child/ Kaiser Permanente Sunny- American Board of Psy- Seema A Dewani, Mental side Medical Center; Kaiser Not F N chiatry and Neurology Y N MD Health Permanente Westside Medical required (Psychi Center Kaiser Permanente Sunny- American Board of Psy- Jonathan J Mental side Medical Center; Kaiser Not M N chiatry and Neurology Y N Ebbing, MD Health Permanente Westside Medical required (Psychi Center Kathleen C Mental Not F Y Not Applicable None Y N Goldstein, LCSW Health required Kaiser Permanente Sunny- American Board of Psy- Steven T Grandt, Mental side Medical Center; Kaiser Not M N chiatry and Neurology Y N MD Health Permanente Westside Medical required (Psychi Center Kaiser Permanente Sunny- American Board of Psy- Mental side Medical Center; Kaiser Not Rory E Green, MD M N chiatry and Neurology Y N Health Permanente Westside Medical required (Psychi Center Monique M Addiction Kaiser Permanente Sunnyside Not F Y Not Applicable Y N Helvig, MA Medicine Medical Center required Jordana A Mental Not F Y Not Applicable None Y N Joseph, LCSW Health required

Page 82 19414_09-21 Jeffery M Kempel, Mental Not M Y Not Applicable None Y N LPC Health required American Board of Psy- Leonard J Marcel, Mental Not M N chiatry and Neurology None Y N MD Health required (Psychi Kaiser Permanente Sunny- John Raven, Addiction side Medical Center; Kaiser Not M Y Not Applicable Y N CADC II Medicine Permanente Westside Medical required Center Abraham J Mental Not M Y Not Applicable None Y N Reichlin, LCSW Health required Gail E Reynolds, Mental Not F Y Not Applicable None Y N LCSW Health required Chloe V Rusca, Mental Not F Y Not Applicable None Y N LCSW Health required Katelyn R Snyder, Mental Not F Y Not Applicable None Y N LPC Health required Kaiser Permanente Sunny- American Board of Psy- Erin M Wallace, Mental side Medical Center; Kaiser Not F N chiatry and Neurology Y N MD Health Permanente Westside Medical required (Psychi Center Addiction Counselor Jennifer B Wallis, Addiction Not F Y Certification Board of None Y N LCSW Medicine required Oregon American Board of Kaiser Permanente Sunny- Child and Psychiatry and Neurol- side Medical Center; Kaiser Not Bob Wynn, MD M N Adolescent ogy (Child/; American Y N Permanente Westside Medical required Psychiatry Board of Psychiatry and Center Neurology (Psychi Kaiser Permanente Sunny- Mental American Board of Psy- side Medical Center; Kaiser Not Lisa C Young, MD F N Y N Health chiatry and Neurology Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- David J van de Mental side Medical Center; Kaiser Not M N ogy (Psychi; American Y N Lindt, MD Health Permanente Westside Medical required Board of Psychiatry and Center Neurology (Geriat

Page 83 19414_09-21 Mt. Talbert Medical Offices 10100 SE Sunnyside Rd Clackamas, OR. 97015 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid American Board of Internal Medicine (Car- Cesar Alberte- Kaiser Permanente Sunnyside May be M Y Cardiology diovascula; American Y Y Lista, MD, FHRS Medical Center required Board of Internal Medi- cine (Clinical Card Obstet- Rachel G Algenio, American Board of Ob- Kaiser Permanente Sunnyside Not F Y rics and Y Y MD stetrics and Gynecology Medical Center required Gynecology American Board of Carl B Anderson, Occupation- Not M Y Preventive Medicine None Y Y MD al Medicine required (Occupationa National Commission Joshua G Andrew, Vascular Kaiser Permanente Sunnyside May be M Y on Certification of Phys Y Y PA-C Surgery Medical Center required Assis Emmanuel R American Academy of Kaiser Permanente Sunnyside May be M Y Cardiology Y Y Ariola, FNP-C Nurse Practitioners Medical Center required Physical May be Dana M Bailey, PT F Y Not Applicable None Y Y Therapy required Obstet- Julia E Barnes, American Board of Ob- Kaiser Permanente Sunnyside Not F Y rics and Y Y MD stetrics and Gynecology Medical Center required Gynecology Kaiser Permanente Sunny- Obstet- American College of Chris A Beard, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y Y CNM Permanente Westside Medical required Gynecology cation C Center Zakary S Benson, Physical May be M Y Not Applicable None Y Y PT Therapy required Obstet- Michele R American Board of Ob- Kaiser Permanente Sunnyside Not F Y rics and Y Y Bergmann, MD stetrics and Gynecology Medical Center required Gynecology

Page 84 19414_09-21 Kaiser Permanente Sunny- National Commission Melody A Neurosur- side Medical Center; Kaiser May be F Y on Certification of Phys Y Y Berman, PA-C gery Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- Obstet- Sarah E Bodian, American Midwifery side Medical Center; Kaiser Not F Y rics and Y Y CNM Certification Board Permanente Westside Medical required Gynecology Center Kaiser Permanente Sunny- Obstet- Hannah Bronsky American Midwifery side Medical Center; Kaiser Not F Y rics and Y Y Pena, CNM Certification Board Permanente Westside Medical required Gynecology Center Matthew R American Board of Pre- Occupation- Not Campbell, MD, M Y ventive Medicine (Public None Y N al Medicine required MPH Heal Kaiser Permanente Sunny- Obstet- American College of Angela C Chiodo, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y Y CNM Permanente Westside Medical required Gynecology cation C Center National Commission German Collazo, Cardiotho- Kaiser Permanente Sunnyside May be M Y on Certification of Phys Y Y PA-C racic Surgery Medical Center required Assis National Commission Heather A Cardiotho- Kaiser Permanente Sunnyside May be F Y on Certification of Phys Y Y Cooper, PA-C racic Surgery Medical Center required Assis Marcie M Cottell, Physical May be F Y Not Applicable None Y Y PT Therapy required Obstet- Paige A Cross, American Nurses Cre- Not F Y rics and None Y Y FNP dentialing Center required Gynecology Obstet- Heather B American Board of Ob- Kaiser Permanente Sunnyside Not F Y rics and Y Y Crummett, MD stetrics and Gynecology Medical Center required Gynecology Kaiser Permanente Sunny- Teresa A Vascular American Board of Sur- side Medical Center; Kaiser May be F Y Y Y Crutchley, MD Surgery gery (Vascular Surgery) Permanente Westside Medical required Center

Page 85 19414_09-21 Kaiser Permanente Sunny- Obstet- Autumn S American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y Davidson, MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center American Board of Robert M Davis, Occupation- Not M Y Preventive Medicine None Y Y MD al Medicine required (Occupationa American Board of Kaiser Permanente Sunny- Obstet- Obstetrics and Gynecol- Jacquia F De La side Medical Center; Kaiser Not F Y rics and ogy; American Board of Y Y Cruz, MD Permanente Westside Medical required Gynecology ObGyn (Female Pelvic Center Medicine an American Board of Tho- Isidore Dinga Cardiotho- Kaiser Permanente Sunnyside May be M Y racic Surgery; American Y Y Madou, MD racic Surgery Medical Center required Board of Surgery Matthew E Occupation- American Osteopathic Not M Y None Y N Dubrow, DO al Medicine Board of Family Practice required Kaiser Permanente Sunny- Obstet- Stephanie J American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y Evans, MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Ali R Faheeh, MD M Y Cardiology Internal Medicine Permanente Westside Medical Y Y required (Cardiovascula Center; Legacy Salmon Creek Medical Center National Commission Heather D Vascular Kaiser Permanente Sunnyside May be F Y on Certification of Phys Y Y Farmer, PA-C Surgery Medical Center required Assis National Commission Julie L Faulk, Cardiotho- Kaiser Permanente Sunnyside May be F Y on Certification of Phys Y Y PA-C racic Surgery Medical Center required Assis American Board of Kaiser Permanente Sunny- Radiology (Neuroradiol- Jeremy D Fields, Neurosur- side Medical Center; Kaiser May be M Y ogy); American Board of Y Y MD gery Permanente Westside Medical required Psychiatry and Neurolo- Center gy (Neurol Kaiser Permanente Sunny- National Commission Braidon F Neurosur- side Medical Center; Kaiser May be M Y on Certification of Phys Y Y Freeman, PA-C gery Permanente Westside Medical required Assis Center

Page 86 19414_09-21 Obstet- Cynthia J Goldor, American Board of Ob- Kaiser Permanente Sunnyside Not F Y rics and Y Y MD stetrics and Gynecology Medical Center required Gynecology Kaiser Permanente Sunny- Siobhan H Gray, American Board of side Medical Center; Kaiser May be F Y Cardiology Y Y MD Internal Medicine Permanente Westside Medical required Center American Board of Sur- Kaiser Permanente Sunny- Homayon Vascular gery; American Board side Medical Center; Kaiser May be M Y Y Y Hajarizadeh, MD Surgery of Surgery (Vascular Permanente Westside Medical required Surgery) Center Kaiser Permanente Sunny- Obstet- American Board of Ob- side Medical Center; Kaiser Not Julia G Head, MD F Y rics and Y Y stetrics and Gynecology Permanente Westside Medical required Gynecology Center Anne E Hettick, Physical May be F Y None Y N PT Therapy required American Board of Amy L Hinrichs, Occupation- Not F Y Preventive Medicine None Y N MD al Medicine required (Occupationa Kaiser Permanente Sunny- side Medical Center; Kaiser Orlene A Neurosur- American Academy of May be F Y Permanente Westside Medical Y Y Hoskinson, FNP-C gery Nurse Practitioners required Center; Legacy Salmon Creek Medical Center American Board of Kaiser Permanente Sunny- Internal Medicine (Car- Timothy H side Medical Center; Kaiser May be M Y Cardiology diovascula; American Y Y Hudson, MD Permanente Westside Medical required Board of Internal Medi- Center cine (Interventiona Kaiser Permanente Sunny- side Medical Center; Kaiser Samuel A Neurosur- American Board of Neu- May be M Y Permanente Westside Medical Y Y Hughes, MD gery rological Surgery required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Obstet- American College of Jane A Izmirlian, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y Y CNM Permanente Westside Medical required Gynecology cation C Center

Page 87 19414_09-21 American Board of Internal Medicine (Adv Heart Fai; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser Timothy D May be M Y Cardiology Medicine (Cardiovas- Permanente Westside Medical Y Y Jacobson, MD required cula; American Board Center; Legacy Salmon Creek of Internal Medicine; Medical Center National Board of Echocardiography American Board of Sur- Mark L Janzen, Vascular gery (Vascular Surgery); May be M Y None Y Y MD Surgery American Board of required Surgery Kaiser Permanente Sunny- Obstet- American College of Robi M Jaspin, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y Y CNM Permanente Westside Medical required Gynecology cation C Center American Nurses Kaiser Permanente Sunny- Credentialing Center; side Medical Center; Kaiser May be Jung Y Jin, NP F Y Cardiology Y Y American Nurses Cre- Permanente Westside Medical required dentialing Center Center Angela N Physical May be F Y None Y N Johnson, PT Therapy required Terrald S Physical May be M Y None Y N Kadrmas, PT Therapy required Kaiser Permanente Sunny- American Osteopath- side Medical Center; Kaiser Kristophe J Neurosur- May be M Y ic Board of Surgery Permanente Westside Medical Y Y Karami, DO gery required (Neurologica Center; Legacy Salmon Creek Medical Center Obstet- National Commission Heidi J Kelbar, Not F Y rics and on Certification of Phys None Y Y PA-C required Gynecology Assis American Board of In- ternal Medicine; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser May be Arun Kuchela, MD M Y Cardiology Medicine (Cardiovas- Y Y Permanente Westside Medical required cula; American Board Center of Internal Medicine (Interventiona

Page 88 19414_09-21 Obstet- Sarah E Lambert, American Board of Ob- Kaiser Permanente Sunnyside Not F Y rics and Y Y MD stetrics and Gynecology Medical Center required Gynecology Thomas D Cardiotho- American Board of Tho- Kaiser Permanente Sunnyside May be M Y Y Y Lampros, MD racic Surgery racic Surgery Medical Center required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Internal Medicine Daniel P Lavery, Permanente Westside Med- May be M Y Cardiology (Cardiovascula; Amer- Y Y MD ical Center; Legacy Salmon required ican Board of Internal Creek Medical Center; Salem Medicine Hospital Kaiser Permanente Sunny- Obstet- American Board of Ob- side Medical Center; Kaiser Not Daniel D Lee, MD M Y rics and Y Y stetrics and Gynecology Permanente Westside Medical required Gynecology Center Physical May be Tracey B Leslie, PT F Y Not Applicable None Y Y Therapy required Kaiser Permanente Sunny- side Medical Center; Kaiser Jason I Lifshutz, Neurosur- American Board of Neu- May be M Y Permanente Westside Medical Y Y MD gery rological Surgery required Center; Legacy Salmon Creek Medical Center Allison Lipnick, May be F Y Cardiology None Y N LCSW required Kaiser Permanente Sunny- Obstet- American Board of Ob- side Medical Center; Kaiser Not Annie Y Liu, MD F Y rics and Y Y stetrics and Gynecology Permanente Westside Medical required Gynecology Center Obstet- American College of Vivian S Liu, NP, Not F Y rics and Nurse Midwives Certifi- None Y Y CNM required Gynecology cation C Obstet- Trisha M Lopez, National Certification Not F Y rics and None Y Y NP Corporation required Gynecology American Board of Int Med (Adult Congenital Kaiser Permanente Sunny- Heart ; American Board side Medical Center; Kaiser Joel D McLarry, May be M Y Cardiology of Internal Medicine; Permanente Westside Medical Y Y MD required American Board of Center; Legacy Salmon Creek Internal Medicine Medical Center (Cardiovascula

Page 89 19414_09-21 Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Lori L McMullan, May be F Y Cardiology Internal Medicine Permanente Westside Medical Y Y MD, MPH required (Cardiovascula Center; Legacy Salmon Creek Medical Center American Board of Kaiser Permanente Sunny- Obstet- Obstetrics and Gynecol- Alexandra M side Medical Center; Kaiser Not F Y rics and ogy; American Board of Y Y McPencow, MD Permanente Westside Medical required Gynecology ObGyn (Female Pelvic Center Medicine an Physical May be Cheryl R Miller, PT F Y None Y N Therapy required Obstet- Laura Y Morrison, American Board of Ob- Not F Y rics and None Y Y MD, MPH stetrics and Gynecology required Gynecology American Board of Internal Medicine (Adv Kaiser Permanente Sunny- Heart Fai; American side Medical Center; Kaiser Ryan P Morrissey, May be M Y Cardiology Board of Internal Med- Permanente Westside Medical Y Y MD required icine (Cardiovascula; Center; Legacy Salmon Creek American Board of Medical Center Internal Medicine Kaiser Permanente Sunny- National Commission Peter P Neurosur- side Medical Center; Kaiser May be M Y on Certification of Phys Y Y Musacchio, PA gery Permanente Westside Medical required Assis Center American Board of Kaiser Permanente Sunny- Christopher J Cardiotho- Thoracic Surgery; Amer- side Medical Center; Kaiser May be M Y Y Y Mutrie, MD racic Surgery ican Board of Thoracic Permanente Westside Medical required Surgery Center Kelly E Newman, Physical May be F Y None Y N DPT Therapy required Kaiser Permanente Sunny- Neurosur- American Board of Or- side Medical Center; Kaiser May be George S Oji, MD M Y Y Y gery thopaedic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Obstet- Eva B Patil, MD, American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y MPH stetrics and Gynecology Permanente Westside Medical required Gynecology Center

Page 90 19414_09-21 Kaiser Permanente Sunny- National Commission Andrea C Pertoso, Neurosur- side Medical Center; Kaiser May be F Y on Certification of Phys Y Y PA-C gery Permanente Westside Medical required Assis Center American Board of Sur- Kaiser Permanente Sunny- Cheryl D Richie, Vascular gery (Vascular Surgery); side Medical Center; Kaiser May be F Y Y Y MD Surgery American Board of Permanente Westside Medical required Surgery Center Obstet- American College of Kelly A Riordan, Kaiser Permanente Sunnyside Not F Y rics and Nurse Midwives Certifi- Y Y CNM Medical Center required Gynecology cation C Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Walter P May be M Y Cardiology Internal Medicine Permanente Westside Medical Y Y Robertson IV, MD required (Cardiovascula Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Obstet- Jennifer L Rupert, American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Katherine P Physical May be F Y Not Applicable None Y Y Rushton, PT Therapy required American Board of Sur- Kaiser Permanente Sunny- Jocelyn A Segall, Vascular gery; American Board side Medical Center; Kaiser May be F Y Y N MD Surgery of Surgery (Vascular Permanente Westside Medical required Surgery) Center American Board of John P Seymour, Occupation- Not M Y Preventive Medicine None Y Y MD, MPH al Medicine required (Occupationa Kaiser Permanente Sunnyside Robin D Pediatric American Board of Pedi- May be F Y Medical Center; OHSU/Doer- Y Y Shaughnessy, MD Cardiology atrics (Cardiology) required nbecher Childrens American Board of William W Shely Cardiotho- Thoracic Surgery; Amer- Kaiser Permanente Sunnyside May be M Y Y Y III, MD racic Surgery ican Board of Thoracic Medical Center required Surgery American Board of Cardiotho- Thoracic Surgery; Amer- Kaiser Permanente Sunnyside May be Yong T Shin, MD M Y Y Y racic Surgery ican Board of Thoracic Medical Center required Surgery

Page 91 19414_09-21 American Board of Internal Medicine; American Board of Kaiser Permanente Sunny- Internal Medicine (Adv side Medical Center; Kaiser Divya U Soman, May be F Y Cardiology Heart Fai; National Permanente Westside Medical Y N MD required Board of Echocardiog- Center; Legacy Salmon Creek raphy; American Board Medical Center of Internal Medicine (Cardiovascula Kaiser Permanente Sunny- Obstet- Dawn M Stanek, American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center National Commission Piotr Starosta, Cardiotho- Kaiser Permanente Sunnyside May be M Y on Certification of Phys Y Y PA-C racic Surgery Medical Center required Assis American Board of Kaiser Permanente Sunny- Obstet- Obstetrics and Gy- Norma P Steiner, side Medical Center; Kaiser Not F Y rics and necology; American Y Y MD Permanente Westside Medical required Gynecology Board of Obstetrics and Center Gynecology National Commission Cardiotho- Kaiser Permanente Sunnyside May be Scott V Streff, PA M Y on Certification of Phys Y Y racic Surgery Medical Center required Assis Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Katherine R May be F Y Cardiology Internal Medicine Permanente Westside Medical Y Y Strelich, MD required (Cardiovascula Center; Legacy Salmon Creek Medical Center National Commission Jeanette L Kaiser Permanente Sunnyside May be F Y Cardiology on Certification of Phys Y Y Tanega, PA-C Medical Center required Assis American Board of Kaiser Permanente Sunny- Obstet- Obstetrics and Gynecol- Jennifer C side Medical Center; Kaiser Not F Y rics and ogy; American Board of Y Y Thompson, MD Permanente Westside Medical required Gynecology ObGyn (Female Pelvic Center Medicine an

Page 92 19414_09-21 American Board of Kaiser Permanente Sunny- Obstet- Obstetrics and Gynecol- Katherine E side Medical Center; Kaiser Not F Y rics and ogy; American Board of Y Y Tierney, MD Permanente Westside Medical required Gynecology Obstetrics and Gynecol- Center ogy (Gynec National Commission Brian A Timm, Cardiotho- Kaiser Permanente Sunnyside May be M Y on Certification of Phys Y Y PA-C racic Surgery Medical Center required Assis American Board of In- Kaiser Permanente Sunny- ternal Medicine (Clinical Fernando J side Medical Center; Kaiser May be M Y Cardiology Card; American Board Y Y Tondato, MD Permanente Westside Medical required of Internal Medicine Center (Cardiovascula Kaiser Permanente Sunny- Obstet- Michael P Traynor, American Board of Ob- side Medical Center; Kaiser Not M Y rics and Y N MD, MPH stetrics and Gynecology Permanente Westside Medical required Gynecology Center Kaiser Permanente Sunny- Cardiotho- American Board of Tho- side Medical Center; Kaiser May be David G Tse, MD M Y Y Y racic Surgery racic Surgery Permanente Westside Medical required Center American Board of Internal Medicine Kaiser Permanente Sunny- (Interventiona; Amer- Abhimanyu side Medical Center; Kaiser May be M Y Cardiology ican Board of Internal Y Y Uberoi, MD Permanente Westside Medical required Medicine (Cardiovascu- Center la; American Board of Internal Medicine Kaiser Permanente Sunny- Obstet- American College of Dana J Ulrich, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y Y CNM Permanente Westside Medical required Gynecology cation C Center American Board of Internal Medicine (Car- Kaiser Permanente Sunny- diovascula; American side Medical Center; Kaiser May be Ross P Vimr, MD M Y Cardiology Board of Internal Med- Y Y Permanente Westside Medical required icine; American Board Center of Internal Medicine (Interventiona

Page 93 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Yashail Y Vora, Neurosur- American Board of Neu- May be M Y Permanente Westside Medical Y Y MD gery rological Surgery required Center; Legacy Salmon Creek Medical Center Physical May be Erin J Walker, PT F Y Not Applicable None Y Y Therapy required Kaiser Permanente Sunny- side Medical Center; Kaiser Jason S Neurosur- American Board of Neu- May be M Y Permanente Westside Medical Y Y Weinstein, MD gery rological Surgery required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- National Commission Tawny N Welsh, Neurosur- side Medical Center; Kaiser May be F Y on Certification of Phys Y Y PA-C gery Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- Obstet- American Board of Ob- side Medical Center; Kaiser Not Emily V West, MD F Y rics and Spanish Y Y stetrics and Gynecology Permanente Westside Medical required Gynecology Center National Board of Echo- cardiography; Amer- Kaiser Permanente Sunny- Catherine Y ican Board of Internal side Medical Center; Kaiser May be F Y Cardiology Y Y Wong, MD Medicine (Cardiovascu- Permanente Westside Medical required la; American Board of Center Internal Medicine Kaiser Permanente Sunny- Obstet- Kathy L Wood, American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center

Newberg Urgent Care and Medical Center 2880 Hayes St Newberg, OR. 97132 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Patrick A Family American Board of Fam- Not M Y None Y Y Spensley, MD Medicine ily Medicine required

Page 94 19414_09-21 North Interstate Dental Offices 7201 N Interstate Ave Portland, OR. 97217 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Heather L Garza, May be F Y Nutrition None Y N LD required Elizabeth K May be Owczarzak, RD F Y Nutrition None Y N required LD

North Lancaster Medical Offices 2400 Lancaster Dr NE Salem, OR. 97305 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Adesiji J American Academy of May be Adewunmi, ANP- M Y Cardiology None Y Y Nurse Practitioners required BC Kaiser Permanente Sunny- American Board of Eric S Albright, Endocrinol- side Medical Center; Kaiser May be M Y Internal Medicine Y Y MD ogy Permanente Westside Medical required (Endocrinology Center Beata J Anasz- Internal American Board of Not F N None Y Y Kopecka, MD Medicine Internal Medicine required Sandra J Barton, American Board of Not F Y Geriatrics None Y Y MD Internal Medicine required American Board of Internal Medicine (Pul- Kaiser Permanente Sunny- monary Dis; American Cody J Benthin, side Medical Center; Kaiser May be M Y Pulmonology Board of Internal Med- Y Y MD Permanente Westside Medical required icine; American Board Center; Salem Hospital of Internal Medicine (Critical Care

Page 95 19414_09-21 Lucy B Bollinger, American Board of Not F Y Pediatrics Salem Hospital Y Y MD Pediatrics required American Board of In- ternal Medicine; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser May be Eric J Bonura, MD M Y Pulmonology Medicine (Pulmonary Permanente Westside Medical Y Y required Dis; American Board of Center; Legacy Salmon Creek Internal Medicine (Criti- Medical Center cal Care American Board of Internal Medicine (Ne- Kaiser Permanente Sunny- Mark Anthony C phrology); American side Medical Center; Kaiser May be M Y Nephrology Y Y Cabrera, MD Board of Internal Medi- Permanente Westside Medical required cine; American Board of Center; Salem Hospital Internal Medicine Amber C Carlson, National Board of Exam- Not F Y Optometry None Y Y OD iners in Optometry required Kaiser Permanente Sunny- Lauren M Cass, Otolaryngol- American Board of side Medical Center; Kaiser May be F Y Y Y MD, MPH ogy Otolaryngology Permanente Westside Medical required Center Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of Permanente Westside Medical May be Colin R Cave, MD M Y Y Y ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- side Medical Center; Kaiser Allergy and American Board of Al- May be Mark T Chan, MD M Y Permanente Westside Medical Y Y Immunology lergy and Immunology required Center; Legacy Salmon Creek Medical Center Jessie S Coleman, Internal American Board of Not F Y None Y Y DO Medicine Internal Medicine required Kevin P Connolly, American Board of Not M Y Pediatrics Salem Hospital Y Y MD Pediatrics required Wesley D American Board of Not M Y Optometry None Y Y Crockett, OD Optometry required Yara L Delgado, Family American Board of Fam- Not F Y None Spanish Y Y MD Medicine ily Medicine required

Page 96 19414_09-21 American Board of Kaiser Permanente Sunny- Internal Medicine Karen C Dugan, side Medical Center; Kaiser May be F Y Pulmonology (Pulmonary Dis; Amer- Y Y MD Permanente Westside Medical required ican Board of Internal Center Medicine Tiffany J Gilbey, Family American Academy of Not F Y None Y N FNP Medicine Nurse Practitioners required Kaiser Permanente Sunny- American Board of Oto- side Medical Center; Kaiser John C Goddard, Otolaryngol- laryngology; American Permanente Westside Medical May be M Y Y Y MD ogy Board of Otolaryngolo- Center; Legacy Salmon Creek required gy (Neurotology) Medical Center; Oregon Health & Science University American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Darshika Rheumatol- May be F Y (Rheumatology); Amer- Permanente Westside Medical Y Y Goswami, MD ogy required ican Board of Internal Center; Legacy Salmon Creek Medicine Medical Center Aaron P Hanson, Family American Osteopathic Not M N None Spanish Y Y DO Medicine Board of Family Practice required Family American Board of Fam- Not John R Hayes, MD M Y None Spanish Y Y Medicine ily Medicine required American Board of Amy L Hinrichs, Occupation- Not F Y Preventive Medicine None Y N MD al Medicine required (Occupationa American Osteopath- Jason P Sleep May be M Y ic Board of Family None Y Y Hogaboam, DO Medicine required Physicians Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of May be Jeffrey V Hsu, MD M Y Permanente Westside Medical Y Y ogy Otolaryngology required Center; Legacy Salmon Creek Medical Center American Board of Internal Medicine Jon W Hughes, Internal Not M Y (Hospice & Pal; Amer- Salem Hospital Y Y MD Medicine required ican Board of Internal Medicine Heather M Not F Y Optometry Not Applicable None Y Y Jensen, OD required

Page 97 19414_09-21 American Board of Kaiser Permanente Sunny- Internal Medicine Hsin-Hsuan Juo, Rheumatol- side Medical Center; Kaiser May be F Y (Rheumatology); Amer- Y Y MD ogy Permanente Westside Medical required ican Board of Internal Center Medicine Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Internal Medicine (Adv Permanente Westside Med- May be Priya Kansal, MD F Y Cardiology Heart Fai; American Y Y ical Center; Legacy Salmon required Board of Internal Medi- Creek Medical Center; Salem cine (Cardiovascula Hospital Kaiser Permanente Sunny- American Board of Matthew P Kaul, side Medical Center; Kaiser May be M Y Physiatry Physical Medicine/ Y N MD Permanente Westside Medical required Rehabilitation Center Kaiser Permanente Sunny- side Medical Center; Kaiser Andrew D Otolaryngol- American Board of Permanente Westside Medical May be M Y Y Y Kroeker, MD ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Internal Medicine Daniel P Lavery, Permanente Westside Med- May be M Y Cardiology (Cardiovascula; Amer- Y Y MD ical Center; Legacy Salmon required ican Board of Internal Creek Medical Center; Salem Medicine Hospital Kaiser Permanente Sunny- American Board of Psy- Daniel P Lavery side Medical Center; Kaiser May be M Y Neurology chiatry and Neurology Y Y Jr, MD Permanente Westside Medical required (Neurol Center Not Eric J Leavitt, OD M Y Optometry Not Applicable None Y Y required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Jake D Lenington, Allergy and Allergy and Immunolo- May be M Y Permanente Westside Medical Y Y MD Immunology gy; American Board of required Center; Legacy Salmon Creek Internal Medicine Medical Center

Page 98 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of May be David W Lin, MD M Y Permanente Westside Medical Y Y ogy Otolaryngology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- side Medical Center; Kaiser Steven A Long, Otolaryngol- American Board of Permanente Westside Medical May be M Y Y Y MD ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Jennifer J Not F Y Optometry Not Applicable None Y Y Magbitang, OD required Christina Nguyen, Not F Y Optometry Not Applicable None Y Y OD required American Board of Psychiatry and Neurol- Olukayode O Sleep May be M Y ogy (Neurol; American None Y Y Ogunrinde, MD Medicine required Board of Psychiatry and Neurology (Sleep American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser May be Ken J Park, MD M Y Nephrology (Nephrology); Ameri- Y Y Permanente Westside Medical required can Board of Internal Center; Salem Hospital Medicine Kyla N Pepper, Family American Board of Fam- Not F N Salem Hospital Y Y MD Medicine ily Medicine required American Board of Internal Medicine Jason L Phillips, Internal Not M N (Hospice & Pal; Amer- None Y Y MD Medicine required ican Board of Internal Medicine Juliette M Power, Family American Board of Fam- Not F Y None Spanish Y Y MD Medicine ily Medicine required Brandon M Reed, Not M Y Optometry Not Applicable None Y Y OD required Alvaro E Rey- American Board of Not M Y Pediatrics Salem Hospital Spanish Y Y Rosa, MD Pediatrics required

Page 99 19414_09-21 National Commission Celeste J Kaiser Permanente Sunnyside May be F Y Physiatry on Certification of Phys Y Y Richardson, PA-C Medical Center required Assis American Board of Not Lisa L Rishel, MD F N Pediatrics Salem Hospital Y Y Pediatrics required Deborah A Sailler, Family American Board of Fam- Not F N None Y Y MD Medicine ily Medicine required American Board of Fam- Shari A Sanders, ily Medicine (Geriatric Not F Y Geriatrics None Y Y MD Medic; American Board required of Internal Medicine Kaiser Permanente Sunny- side Medical Center; Kaiser Attilia M Sawyer, Otolaryngol- American Board of Permanente Westside Medical May be F Y Y Y MD ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- American Board of In- side Medical Center; Kaiser ternal Medicine (Critical Alistair J Scriven, Permanente Westside Med- May be M Y Pulmonology Care; American Board Y Y MD ical Center; Legacy Salmon required of Internal Medicine Creek Medical Center; Salem (Pulmonary Dis Hospital Richard J Segal, Internal American Board of Not M Y Salem Hospital Y Y MD Medicine Internal Medicine required American Board of John P Seymour, Occupation- Not M Y Preventive Medicine None Y Y MD, MPH al Medicine required (Occupationa Family American Board of Fam- Not Kathy T Shaw, MD F N None Y Y Medicine ily Medicine required Hannah C Not F Y Optometry Not Applicable None Y Y Shinoda, OD required Kaiser Permanente Sunny- American Board of Psy- Monica A side Medical Center; Kaiser May be F Y Neurology chiatry and Neurology Y Y Skordilis, MD Permanente Westside Medical required (Neurol Center

Page 100 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of Permanente Westside Medical May be Dana S Smith, MD M Y Y Y ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kelly A Smucker, American Board of Not F Y Pediatrics Salem Hospital Y Y MD Pediatrics required Kaiser Permanente Sunny- American Board of In- side Medical Center; Kaiser Molly S Stenzel, Immune May be F Y ternal Medicine (Infec- Permanente Westside Medical Y Y MD Deficiency required tious Di Center; Legacy Salmon Creek Medical Center Family American Board of Fam- Not Amy Sutkus, MD F N None Y Y Medicine ily Medicine required American Board of Kaiser Permanente Sunny- Internal Medicine (Pul- side Medical Center; Kaiser May be Fredy Toiber, MD M Y Pulmonology monary Dis; American Permanente Westside Medical Y Y required Board of Internal Medi- Center; Legacy Salmon Creek cine (Critical Care Medical Center Kaiser Permanente Sunny- side Medical Center; Kaiser Charlotte L Tsai, American Board of May be F Y Dermatology Permanente Westside Medical Y Y MD Dermatology required Center; Legacy Salmon Creek Medical Center American Board of Preventive Medicine Kevin C Walters, Occupation- Not M Y (Undersea & ; American None Y Y MD al Medicine required Board of Preventive Medicine (Occupationa American Board of In- Kerry E Watkins, Internal ternal Medicine; Amer- Not F N None Y Y MD Medicine ican Board of Internal required Medicine (Hospice & Pal Kaiser Permanente Sunny- side Medical Center; Kaiser Travis J Widman, American Board of May be M Y Dermatology Permanente Westside Medical Y Y MD Dermatology required Center; Legacy Salmon Creek Medical Center

Page 101 19414_09-21 National Board of Echo- cardiography; Amer- Kaiser Permanente Sunny- Catherine Y ican Board of Internal side Medical Center; Kaiser May be F Y Cardiology Y Y Wong, MD Medicine (Cardiovascu- Permanente Westside Medical required la; American Board of Center Internal Medicine

North Lancaster Medical Offices 2400 Lancaster Dr NE Salem, OR. 97305 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Anita A Beck, Addiction National Board for Cer- Not F Y None Y N CADC I Medicine tified Counselors required Addiction Counselor Jesse J Decker, Addiction Not M Y Certification Board of None Y N CADC I Medicine required Oregon Carrie L Geibel, Mental Not F Y Not Applicable None Y N LCSW Health required Gloria L Henricks, Addiction Not F Y Not Applicable None Y N CADC I Medicine required Addiction Counselor Jenna L Li, CADC Addiction Not F Y Certification Board of None Y N I Medicine required Oregon Mental Health & Addic- Carri A McCrary, Addiction Not F Y tion Certification Board None Y N CADC I Medicine required of O Julie L Mertes, Addiction Not F Y Not Applicable None Y N LCSW Medicine required Muni S Reddy, Addiction Not F Y None Y N CADC I Medicine required Catherine E Mental American Nurses Cre- Not deCampos, FNP- F Y None Y N Health dentialing Center required BC

Page 102 19414_09-21 OHSU 3181 SW Sam Jackson Park Rd Portland, OR. 97201 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid American Board of Kaiser Permanente Sunny- Pediatric Amira N Baker, Pediatrics (Infectious side Medical Center; Kaiser May be F Y Infectious Y Y MD Disease); American Permanente Westside Medical required Diseases Board of Pediatrics Center Kaiser Permanente Sunny- American Board of Urol- side Medical Center; Kaiser Aaron P Bayne, May be M Y Urology ogy; American Board of Permanente Westside Medi- Y Y MD required Urology (Pediatrics) cal Center; Oregon Health & Science University American Board of Brendan P Kelly, Pediatric Pediatrics (Cardiolo- Kaiser Permanente Sunnyside May be M Y Y Y MD Cardiology gy); American Board of Medical Center required Pediatrics American Board of Pedi- Pediatric Kaiser Permanente Sunnyside Thomas D atrics (Hematology-On- May be M Y Hematology/ Medical Center; OHSU/Doer- Y Y Lamkin, MD cology); American required Oncology nbecher Childrens Board of Pediatrics American Board of Pediatric Kaiser Permanente Sunnyside Kristina L Pediatrics (Gastroenter- May be F Y Gastroenter- Medical Center; OHSU/Doer- Y Y Leinwand, DO ology); American Board required ology nbecher Childrens of Pediatrics Kaiser Permanente Sunny- American Board of Pedi- Pediatric side Medical Center; Kaiser Paul F Lewis, MD, atrics; American Board May be M Y Infectious Permanente Westside Medi- Y Y MPH of Pediatrics (Infectious required Diseases cal Center; Oregon Health & Disease) Science University Pediatric American Board Kaiser Permanente Sunnyside Ramya Ramraj, May be F Y Gastroenter- of Pediatrics Medical Center; OHSU/Doer- Y Y MD required ology (Gastroenterology) nbecher Childrens Kaiser Permanente Sunnyside Robin D Pediatric American Board of Pedi- May be F Y Medical Center; OHSU/Doer- Y Y Shaughnessy, MD Cardiology atrics (Cardiology) required nbecher Childrens

Page 103 19414_09-21 Kaiser Permanente Sunny- American Board of Sur- side Medical Center; Kaiser Andrew F Zigman, General gery (Pediatric Surgery); May be M Y Permanente Westside Medi- Y Y MD Surgery American Board of required cal Center; Oregon Health & Surgery Science University

Orchards Medical Offices 7101 NE 137th Ave Vancouver, WA. 98682 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid American Board of Not Sara E Bell, MD F N Pediatrics None Y N Pediatrics required National Commission Joshua S Beu, Family Not M Y on Certification of Phys None Y N PA-C Medicine required Assis Kimberly A May be F Y Social Work None Y N Bingham, LICSW required Cheryl L Physical May be F Y Not Applicable None Y N Boedigheimer, PT Therapy required Not Chau Bui, OD F Y Optometry Not Applicable None Y Y required National Certification Melissa L Not F N Pediatrics Board of Pediatric Nurse None Y N Burchett, CPNP required Pr Kathryn J Occupation- May be F Y Not Applicable None Y N Chaimov, OT al Therapy required Richard T Not M Y Optometry Not Applicable None Y N Claiborne, OD required Reynah M Cole, Physical May be F Y Not Applicable None Y N DPT Therapy required American Board of Legacy Salmon Creek Medical Not Emily J Costa, MD F N Pediatrics Y N Pediatrics Center required David Cotteleer, Physical May be M Y None Y N PT Therapy required

Page 104 19414_09-21 American Board of Not Lisa A Denike, MD F Y Pediatrics None Y N Pediatrics required American Board of Kaiser Permanente Sunny- Physical Medicine/ Jennifer L Dwyer, side Medical Center; Kaiser May be F Y Physiatry Rehabilitation; Amer- Y Y DO Permanente Westside Medical required ican Board of Physical Center Medicine/Rehabilitation American Board of Chinyere I Internal Medicine Internal Not Ekechuku, MD, F N (Geriatric Med; Amer- None Y N Medicine required MPH ican Board of Internal Medicine Physical May be Brian Fong, PT M Y Not Applicable None Y N Therapy required Physical May be Kaia B French, PT F Y Not Applicable None Y N Therapy required Jeffrey A Fries, Not M Y Optometry Not Applicable None Y N OD required Clayton A Physical May be M Y Not Applicable None Y N Gibbons, PT Therapy required Tenzin D Gorab, Family American Academy of Not F N None Y N NP Medicine Nurse Practitioners required Jean M Haggerty, American Board of Not F Y Pediatrics None Y N MD Pediatrics required Not Alice Han, OD F Y Optometry Not Applicable None Y N required Benjamin D Family American Board of Fam- Not M Y None Y N Herring, MD Medicine ily Medicine required Speech May be Julie A Hill, MA F Y Not Applicable None Y N Therapy required Melissa A Hillman, American Board of Not F Y Pediatrics None Y N MD Pediatrics required Patrick W Occupation- May be M Y Not Applicable None Y N Holleran, OT al Therapy required American Board of Inter- Kaiser Permanente Sunny- nal Medicine; American side Medical Center; Kaiser Allergy and May be Julie C Hong, MD F Y Board of Allergy and Permanente Westside Medical Y Y Immunology required Immunology; American Center; Legacy Salmon Creek Board of Pediatrics Medical Center

Page 105 19414_09-21 Kaiser Permanente Sunny- American Board of Matthew P Kaul, side Medical Center; Kaiser May be M Y Physiatry Physical Medicine/ Y N MD Permanente Westside Medical required Rehabilitation Center Nobuhiko Kira, Family American Board of Fam- Not M Y None Y N MD Medicine ily Medicine required American Board of Kaiser Permanente Sunny- Psychiatry and Neurolo- Benjamin J Koo, side Medical Center; Kaiser May be M Y Neurology gy (Neurom; American Y N MD Permanente Westside Medical required Board of Psychiatry and Center Neurology (Neurol Kaiser Permanente Sunny- American Board of Totka R Koutzeva- side Medical Center; Kaiser May be F Y Physiatry Physical Medicine/ Y N Dussel, MD Permanente Westside Medical required Rehabilitation Center Not Paul G Krabill, OD M Y Optometry Not Applicable None Y Y required Natalie A Kulaga, Not F Y Optometry Not Applicable None Y N OD required Maricris E Family American Board of Fam- Not F Y None Y N Lapinid, MD Medicine ily Medicine required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Jake D Lenington, Allergy and Allergy and Immunolo- May be M Y Permanente Westside Medical Y Y MD Immunology gy; American Board of required Center; Legacy Salmon Creek Internal Medicine Medical Center Family American Board of Fam- Not Isabel A Lind, MD F N None Spanish Y N Medicine ily Medicine required Penelope H Physical May be F Y Not Applicable None Y N Lobdell, PT Therapy required American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- Branaven side Medical Center; Kaiser May be M Y Neurology ogy (Neurol; American Y N Mahadeva, MD Permanente Westside Medical required Board of Psychiatry and Center Neurology (Neurom Ramnish J Family American Board of Fam- Not Mandrelle, MD, M Y None Y N Medicine ily Medicine required MPH Nancy M Physical May be F Y Not Applicable None Y N McManus, PT Therapy required

Page 106 19414_09-21 Brandon K Millar, Physical May be M Y Not Applicable None Y N MSPT Therapy required Lauren M Morr, Not F Y Optometry Not Applicable None Y N OD required Travis J Morrison- Internal American Board of Not M Y None Y N Mckell, MD Medicine Internal Medicine required National Commission Vitaliy Family Not M Y on Certification of Phys None Y N Nebyshinets, PA Medicine required Assis Physical May be Lois S Neet, PT F Y Not Applicable None Y N Therapy required Kaiser Permanente Sunny- American Board of Minh C Nguyen, side Medical Center; Kaiser May be M Y Physiatry Physical Medicine/ Y Y MD, MPH Permanente Westside Medical required Rehabilitation Center National Commission Josephine A Family Not F N on Certification of Phys None Y N Oduor, PA-C Medicine required Assis Jodi J Oliver, May be F Y Social Work Not Applicable None Y N LCSW required American Board of Neoma Palmer, Physical May be F Y Physical Therapy None Y N DPT Therapy required Specialists American Board of Psychiatry and Neurol- Venu G Parachuri, Pediatric Kaiser Permanente Sunnyside May be M Y ogy (Child ; American Y Y MD Neurology Medical Center required Board of Psychiatry and Neurology (Epilep Cheryl E Payton, Speech May be F Y None Y N MS Therapy required Clare M Reidy, Family American Board of Fam- Not F N None Y N MD Medicine ily Medicine required Rosario Blanca N Family American Board of Fam- Not F N None Y N Salarzon, MD Medicine ily Medicine required Jeannette L Sale, May be F Y Social Work None Y N MSW required Cynthia K Seitz, American Board of Legacy Salmon Creek Medical Not F Y Pediatrics Y N MD Pediatrics Center required

Page 107 19414_09-21 American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- side Medical Center; Kaiser May be Yanan Shang, MD F Y Neurology ogy (Neurol; American Y Y Permanente Westside Medical required Board of Psychiatry and Center Neurology (Epilep Chulachak J Family American Board of Fam- Not M Y None Y N Sukachevin, MD Medicine ily Medicine required Occupation- May be Jean Takaesu, OT F Y Not Applicable None Y N al Therapy required Physical May be Ly Y Tieu, PT F Y Not Applicable None Y N Therapy required Kaiser Permanente Sunny- side Medical Center; Kaiser Allergy and American Board of Al- May be Justin S Treat, DO M Y Permanente Westside Medical Y N Immunology lergy and Immunology required Center; Legacy Salmon Creek Medical Center Peterson T Tsai, Family American Board of Fam- Not M Y None Y N DO Medicine ily Medicine required Rafaelani T Uy, Family American Board of Fam- Not F Y None Y N MD Medicine ily Medicine required Kaiser Permanente Sunny- Brooke K Walter, American Board of Psy- side Medical Center; Kaiser May be F Y Neurology Y Y MD chiatry and Neurology Permanente Westside Medical required Center Family American Board of Fam- Not Jill S Williams, MD F Y None Y N Medicine ily Medicine required Elizabeth P Physical May be F Y None Y N Winans, PT Therapy required Gregory Wong, Physical May be M Y None Y N PT Therapy required Family American Board of Fam- Not Yang Ye, MD M Y None Mandarin Y N Medicine ily Medicine required Carolin T Yeung, Not F Y Optometry Not Applicable None Y N OD required

Page 108 19414_09-21 Orchards Medical Offices 7101 NE 137th Ave Vancouver, WA. 98682 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Diana L Nulliner, Mental Not F Y Not Applicable None Y N LICSW Health required Julie H Wiesner, Mental Not F Y Not Applicable None Y N LICSW Health required

Rockwood Medical Offices 19500 SE Stark St Portland, OR. 97233 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Leah B Baruch, Family American Board of Fam- Not F N None Y Y MD Medicine ily Medicine required Kaiser Permanente Sunny- Pediatric side Medical Center; Kaiser Erica E Benthin, American Board of May be F Y Newborn Permanente Westside Medical Y Y MD Pediatrics required Care Center; Legacy Salmon Creek Medical Center Justin W Bruno, Family American Board of Fam- Not M Y None Y Y DO Medicine ily Medicine required Not Chau Bui, OD F Y Optometry Not Applicable None Y Y required James P Burke, American Nurses Cre- Legacy Salmon Creek Medical Not M N Pediatrics Y Y ARNP dentialing Center Center required Jencina M Butler, Family American Board of Fam- Not F N None Y Y DO Medicine ily Medicine required Samantha K Not F Y Optometry Not Applicable None Y Y Caggiano, OD required Gina M Carter- American Board of Kaiser Permanente Sunnyside Not F N Pediatrics Y Y Beard, MD Pediatrics Medical Center required

Page 109 19414_09-21 Christine S Chen, American Board of Not F N Pediatrics None Y Y MD Pediatrics required Not Alise M Chin, OD F Y Optometry Not Applicable None Y N required Daniel H Copp, Family American Board of Fam- Not M N None Y Y MD Medicine ily Medicine required Audrey A Crist, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required Kim M Finucan, Not F Y Optometry Not Applicable None Y Y OD required Internal American Board of Not Brian J Gould, MD M Y None Spanish Y Y Medicine Internal Medicine required Carol A Green, Family American Nurses Cre- Not F Y None Y Y FNP Medicine dentialing Center required Not Alice Han, OD F Y Optometry Not Applicable None Y N required Julia A Heinze, Family American Osteopathic Not F Y None Y Y DO Medicine Board of Family Practice required Jessica L Family American Board of Fam- Not F N None Y Y Holzman, MD Medicine ily Medicine required Melanie D Jeske, May be F Y Nutrition None Y N RD LD required Catherine L Kent, American Board of Kaiser Permanente Sunnyside Not F N Pediatrics Y Y MD Pediatrics Medical Center required Lorissa E Klaus, Family American Board of Fam- Not F N None Y Y MD Medicine ily Medicine required Not Paul G Krabill, OD M Y Optometry Not Applicable None Y Y required Natalie A Kulaga, Not F Y Optometry Not Applicable None Y N OD required Patrick Kwong, Not M Y Optometry Not Applicable None Y Y OD required Travis P Lafayette, Not M Y Optometry Not Applicable None Y Y OD required Not Kim N Le, OD F Y Optometry Not Applicable None Y Y required Verni Logendran, Internal American Board of Not F N None Y Y DO Medicine Internal Medicine required

Page 110 19414_09-21 Cora M Ludwig, Internal American Board of Not F N None Y Y MD Medicine Internal Medicine required Rowena L Manalo, Family American Board of Fam- Not F N None Y Y MD Medicine ily Medicine required Bethany J Not F Y Optometry Not Applicable None Y Y Moyses, OD required Eugene P American Board of Not M Y Pediatrics OHSU/Doernbecher Childrens Y Y Nicholson IV, MD Pediatrics required Kamala M Family American Board of Fam- Not F N None Y Y Nyamathi, MD Medicine ily Medicine required Family American Board of Fam- Not Tory J Olsen, MD M Y None Y Y Medicine ily Medicine required Christopher D Not M Y Optometry Not Applicable None Y Y Pearce, OD required Matthew G Not M Y Optometry Not Applicable None Y Y Pearce, OD required Wijan Prapong, Internal American Board of Not M N None Y Y MD Medicine Internal Medicine required Evie K Precechtil, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required Matthew B Family American Board of Fam- Not M Y None Y Y Presson, DO Medicine ily Medicine required Amelia J American Board of Kaiser Permanente Sunnyside Not F Y Pediatrics Y Y Priesthoff, MD Pediatrics Medical Center required American Board of Michelle L Ritter, Family Family Medicine; Amer- Not F Y None Y Y MD Medicine ican Board of Lifestyle required Medicine Gregory S Rubin, Internal American Board of Not M Y None Y Y MD Medicine Internal Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Michael S American Board of Not M Y Pediatrics Permanente Westside Medical Y Y Salinsky, MD Pediatrics required Center; Legacy Salmon Creek Medical Center Alison W Shapiro, Family American Academy of Not F N None Y Y FNP Medicine Nurse Practitioners required

Page 111 19414_09-21 Joshua D Not M Y Optometry Not Applicable None Y Y Shinoda, OD required Rachel K Sircar, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required Not Paul M Stasik, OD M Y Optometry Not Applicable None Y Y required Angela J Family American Board of Fam- Not F Y None Y N Steichen, MD Medicine ily Medicine required Chynna R Tang, Not F Y Optometry Not Applicable None Y Y OD required Ryan E Williams, Family American Board of Fam- Not F Y None Y Y DO Medicine ily Medicine required American Osteopath- Dena B Witthaus, Internal Not F N ic Board of Internal None Y Y DO Medicine required Medicine Vladislav V Yurlov, Family American Board of Fam- Not M Y None Russian Y Y MD Medicine ily Medicine required

Rockwood Medical Offices 19500 SE Stark St Portland, OR. 97233 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Amanda D Ball, Mental Not F Y Not Applicable None Y N PsyD Health required Ashley M Bauer, Addiction Certified Alcohol Drug Not F Y None Y N CADC II Medicine Counselor III required Gregory C Mental Not M Y Not Applicable None Y N Dalton, LPC Health required River C Delogu- Addiction Not F Y Not Applicable None Y N Clark, CADC I Medicine required Kaiser Permanente Sunny- Charles A Addiction side Medical Center; Kaiser Not Dickerman, M Y Not Applicable Y N Medicine Permanente Westside Medical required CADC I Center

Page 112 19414_09-21 Dawn E Foreman, Mental Not F Y Not Applicable None Y N LCSW Health required Krisanne L Haerr, Mental Not F Y Not Applicable None Y N LPC Health required Sara Hergic- Mental Not F Y Not Applicable None Y N Sehovic, LPC Health required Laura L Jacobsen, Mental Not F Y Not Applicable None Y N LCSW Health required Jordana A Mental Not F Y Not Applicable None Y N Joseph, LCSW Health required Tara M Martin, Mental Not F Y Not Applicable None Y N LCSW Health required Sara M Migliazzo, Mental Not F Y Not Applicable None Y N LCSW Health required Teresa A Naimo, Mental Not F Y Not Applicable None Y N LPC Health required Kaiser Permanente Sunny- Victor C Panza III, Addiction side Medical Center; Kaiser Not M Y Not Applicable Y N CADC I Medicine Permanente Westside Medical required Center Rebecca C Paust, Mental Not F Y Not Applicable None Y N CADC I Health required Scott A Ruplin, Mental Not M Y Not Applicable None Y N LCSW Health required Kathryn N Mental Not F Y Not Applicable None Y N Schwartz, LCSW Health required Kelly R Strider, Addiction Not F Y Not Applicable None Y N LPC Medicine required Sherrie L Thomas, Mental National Board for Cer- Not F Y None Y N LPC Health tified Counselors required Addiction Counselor Jennifer B Wallis, Addiction Not F Y Certification Board of None Y N LCSW Medicine required Oregon American Board of Kaiser Permanente Sunny- Child and Psychiatry and Neurol- side Medical Center; Kaiser Not Bob Wynn, MD M N Adolescent ogy (Child/; American Y N Permanente Westside Medical required Psychiatry Board of Psychiatry and Center Neurology (Psychi

Page 113 19414_09-21 Salmon Creek Medical/Dental Offices 14406 NE 20th Ave Vancouver, WA. 98686 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- Obstet- American College of Shaanti F side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y N Abbruzzese, CNM Permanente Westside Medical required Gynecology cation C Center Hospice/ May be Wesley Allen, ST M Y None Y N Home Health required Kaiser Permanente Sunny- side Medical Center; Kaiser Joseph B Ophthalmol- American Board of May be M Y Permanente Westside Medical Y N Alsberge, MD ogy Ophthalmology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Marcus L Asby, Internal American Board of side Medical Center; Kaiser Not M N Y N MD Medicine Internal Medicine Permanente Westside Medical required Center Kaiser Permanente Sunny- Pediatric side Medical Center; Kaiser Erica E Benthin, American Board of May be F Y Newborn Permanente Westside Medical Y Y MD Pediatrics required Care Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Sean V Bhatia, Internal American Board of side Medical Center; Kaiser Not M Y Y N MD Medicine Internal Medicine Permanente Westside Medical required Center Kaiser Permanente Sunny- side Medical Center; Kaiser Kristin S Biggee, Ophthalmol- American Board of Permanente Westside Medical May be F Y Y N MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University

Page 114 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Adam F Braganza, Ophthalmol- American Board of Permanente Westside Medical May be M Y Y N MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Not Chau Bui, OD F Y Optometry Not Applicable None Y Y required National Certification Melissa L Not F N Pediatrics Board of Pediatric Nurse None Y N Burchett, CPNP required Pr Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Daniel E Carl, MD M Y Nephrology Internal Medicine Permanente Westside Medical Y N required (Nephrology) Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of Ching-Wen A side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y Chang, MD Permanente Westside Medical required Radiology) Center Not Alise M Chin, OD F Y Optometry Not Applicable None Y N required Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser American Board of Ob- Not Carol Chiu, MD F Y rics and Permanente Westside Medical Y N stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Judy S Choe, MD F Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center Cynthia W Family American Board of Fam- Not F Y None Y N Colven, MD Medicine ily Medicine required Kaiser Permanente Sunny- Gene R Conley, Internal American Board of side Medical Center; Kaiser Not M Y Y N MD Medicine Internal Medicine Permanente Westside Medical required Center Kathryn B Obstet- National Certification Not Cooperstein, F Y rics and None Y N Corporation required WHCNP Gynecology

Page 115 19414_09-21 Briana M Family American Board of Fam- Not Cranmer, MD, F Y None Y N Medicine ily Medicine required MPH Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser Lissa C Daimaru- American Board of Ob- Not F Y rics and Permanente Westside Medical Y N Enoki, MD stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center American Academy of Laurel A Darkins, Nurse Practitioners; Not F N Pediatrics None Y N FNP American Academy of required Nurse Practitioners Eric De Bruyne, Hospice/ May be M Y None Y N PT Home Health required Heather N De Family American Board of Fam- Not F Y None Y N Jesus, MD Medicine ily Medicine required American Board of Not Tina L Diehl, OD F Y Optometry None Y N Optometry required Not Huy T Do, OD M Y Optometry Not Applicable None Y Y required Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser American Board of Ob- Not Amy L Dorius, MD F Y rics and Permanente Westside Medical Y N stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Obstet- American College of Bridget M Dorsey, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y N CNM Permanente Westside Medical required Gynecology cation C Center Jeffrey E Ford, Family American Board of Fam- Not M Y None Y N MD Medicine ily Medicine required Obstet- Kaiser Permanente Sunnyside American Board of Ob- Not Sarah L Frey, MD F Y rics and Medical Center; Legacy Salm- Y N stetrics and Gynecology required Gynecology on Creek Medical Center Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser Maria A Gaspar- American Board of Ob- Not F Y rics and Permanente Westside Medical Y N Oishi, MD stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center

Page 116 19414_09-21 Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser American Board of Ob- Not Erin R Gee, MD F Y rics and Permanente Westside Medical Y N stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center Guillermo Gow- Internal American Board of Not M N None Y N Lee, MD Medicine Internal Medicine required Brant A Granger, Family American Board of Fam- Not M Y None Y N DO Medicine ily Medicine required Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser Michelle E American Board of Ob- Not F Y rics and Permanente Westside Medical Y N Gruner, MD stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center American Board of Edward N Pediatrics; American Not M Y Pediatrics None Y N Guillery, MD Board of Pediatrics required (Nephrology) Jeffrey J Hospice/ May be M Y None Y N Gulliford, PT Home Health required Not Alice Han, OD F Y Optometry Not Applicable None Y N required Obstet- Kaiser Permanente Sunnyside Robert C Haugen, American Board of Ob- Not M Y rics and Medical Center; Legacy Salm- Y N MD stetrics and Gynecology required Gynecology on Creek Medical Center Kaiser Permanente Sunny- side Medical Center; Kaiser Craig S Hersh, American Board of May be M Y Dermatology Permanente Westside Medical Y N MD Dermatology required Center; Legacy Salmon Creek Medical Center Thuy Lien T Family American Board of Fam- Not F Y None Y N Hoang, MD Medicine ily Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Zakary S Hoffelt, Ophthalmol- American Board of Permanente Westside Medical May be M Y Y N MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Rebecca L Family American Board of Fam- Not F Y None Y N Hoffman, MD Medicine ily Medicine required

Page 117 19414_09-21 Kurt H Hoffmann, Hospice/ May be M Y None Y N PT Home Health required Kaiser Permanente Sunny- American Board of Susan A Huang, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center American Board of Internal Medicine (Adv Heart Fai; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser Timothy D May be M Y Cardiology Medicine (Cardiovas- Permanente Westside Medical Y Y Jacobson, MD required cula; American Board Center; Legacy Salmon Creek of Internal Medicine; Medical Center National Board of Echocardiography Mark C Johansen, Family American Board of Fam- Not M Y None Y N DO Medicine ily Medicine required National Commission Joseph M Kann, Family Not M N on Certification of Phys None Y N PA Medicine required Assis Laura M Keels, Family American Nurses Cre- Not F Y None Y N FNP Medicine dentialing Center required Kaiser Permanente Sunny- Obstet- American College of Teresa B Keirns, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y N CNM Permanente Westside Medical required Gynecology cation C Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Sajeevani G Kim, May be F Y Cardiology Internal Medicine Permanente Westside Medical Y N MD, PhD required (Cardiovascula Center; Legacy Salmon Creek Medical Center Not Paul G Krabill, OD M Y Optometry Not Applicable None Y Y required Natalie A Kulaga, Not F Y Optometry Not Applicable None Y N OD required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Dale F May be M Y Cardiology Internal Medicine Permanente Westside Medical Y N Lamberton, MD required (Cardiovascula Center; Legacy Salmon Creek Medical Center

Page 118 19414_09-21 Family American Board of Fam- Not Lisa T Larman, DO F Y None Y N Medicine ily Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Ophthalmol- American Board of Permanente Westside Medical May be Daniel Y Lee, MD M Y Y N ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Obstet- Women’s Health Care Cheryl J Leonard, Not F Y rics and Nurse Practitioner, None Y N WHCNP required Gynecology Certfiied Internal American Board of Not Mike G Lin, MD M Y None Y N Medicine Internal Medicine required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Mina Lotfi, MD F Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center Kristin A Lottig, American Board of Legacy Salmon Creek Medical Not F Y Pediatrics Y N MD Pediatrics Center required Family American Board of Fam- Not Mark Lussier, MD M Y None Y N Medicine ily Medicine required Janet R American Board of Legacy Salmon Creek Medical Not F N Pediatrics Y N MacDonell, MD Pediatrics Center required Kaiser Permanente Sunny- American Board of Martha L Maclin, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kathryn L Internal American Board of Not F Y None Y N Maxwell, DO Medicine Internal Medicine required Randall J Not M Y Optometry Not Applicable None Y N McClellan, OD required Gabriela B Not F Y Optometry Not Applicable None Y N McTyier, OD required Kaiser Permanente Sunny- side Medical Center; Kaiser Shawn K Nash, Ophthalmol- American Board of May be M Y Permanente Westside Medical Y N DO ogy Ophthalmology required Center; Legacy Salmon Creek Medical Center

Page 119 19414_09-21 American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Joshua H Nelson, May be M Y Nephrology (Nephrology); Ameri- Permanente Westside Medical Y N MD required can Board of Internal Center; Legacy Salmon Creek Medicine Medical Center Internal American Board of Not Vu V Ngo, MD M Y None Y N Medicine Internal Medicine required Kaiser Permanente Sunny- Obstet- American College of Angeline K side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y N Noriega, CNM Permanente Westside Medical required Gynecology cation C Center Kaiser Permanente Sunny- American Board of Dorothy M Pao, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Jennifer A Raser, Hospice/ May be F Y None Y N MSW Home Health required Angie M Family American Board of Fam- Not F Y None Y N Reynolds, MD Medicine ily Medicine required Obstet- Kaiser Permanente Sunnyside American Board of Ob- Not David S Rice, MD M Y rics and Medical Center; Legacy Salm- Y N stetrics and Gynecology required Gynecology on Creek Medical Center Kaiser Permanente Sunny- side Medical Center; Kaiser Nicholas A American Board of May be M Y Dermatology Permanente Westside Medical Y N Richmond, MD Dermatology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of Michelle L side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y Rodgers, MD Permanente Westside Medical required Radiology) Center Charissa E Family American Board of Fam- Not F Y None Y N Rogers, MD Medicine ily Medicine required Not Laura E Rose, OD F Y Optometry Not Applicable None Y N required Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser Jennifer A American Board of Ob- Not F Y rics and Permanente Westside Medical Y N Rosenbaum, MD stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center

Page 120 19414_09-21 American Board of Kaiser Permanente Sunnyside Timothy M May be M Y Radiology Radiology (Diagnostic Medical Center; Kaiser Perma- Y N Rowland, MD required Radiology) nente Westside Medical Center Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser Emilia C Samuel, American Board of Ob- Not F Y rics and Permanente Westside Medical Y N MD stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center American Board of Kaiser Permanente Sunnyside Scott A Sandberg, May be M Y Radiology Radiology (Diagnostic Medical Center; Kaiser Perma- Y Y MD required Radiology) nente Westside Medical Center Kyle A Schwalbe, Not M Y Optometry Not Applicable None Y N OD required American Osteopath- Gregory B Scott, Family Not M Y ic Board of Family None Y N DO Medicine required Physicians American Board of Stephen Shen, May be M Y Radiology Radiology (Diagnostic None Y N MD required Radiology) Joshua D Not M Y Optometry Not Applicable None Y Y Shinoda, OD required Jeffrey D Shrock, Not M Y Optometry Not Applicable None Y N OD required Obstet- Courtney N American Board of Ob- Kaiser Permanente Sunnyside Not F Y rics and Y N Simpson, MD stetrics and Gynecology Medical Center required Gynecology Kaiser Permanente Sunny- American Board of Jessica A Smith, side Medical Center; Kaiser May be F Y Dermatology Dermatology; American Y N MD Permanente Westside Medical required Board of Dermatology Center James M Snell, Not M Y Optometry Not Applicable None Y N OD required American Board of In- ternal Medicine; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser Divya U Soman, Medicine (Adv Heart Fai; May be F Y Cardiology Permanente Westside Medical Y N MD National Board of Echo- required Center; Legacy Salmon Creek cardiography; American Medical Center Board of Internal Medi- cine (Cardiovascula

Page 121 19414_09-21 Matthew P Hospice/ May be M Y None Y N Sommers, MSPT Home Health required Kaiser Permanente Sunny- American Board of Daniel B side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y Sonshine, MD Permanente Westside Medical required Radiology) Center Not Paul M Stasik, OD M Y Optometry Not Applicable None Y Y required Kaiser Permanente Sunny- American Board of David J Stawski, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center American Board of Internal Medicine (Ne- Kaiser Permanente Sunny- phrology); American side Medical Center; Kaiser May be Cynthia Tai, MD F Y Nephrology Y N Board of Internal Medi- Permanente Westside Medical required cine; American Board of Center Internal Medicine Chynna R Tang, Not F Y Optometry Not Applicable None Y Y OD required Kaiser Permanente Sunny- National Commission Carolyn M side Medical Center; Kaiser May be F Y Cardiology on Certification of Phys Y N Thomas, PA Permanente Westside Medical required Assis Center Elizabeth A National Commission Family Not Thorstenson, F Y on Certification of Phys None Y N Medicine required PA-C Assis American Board of Internal Medicine (Car- Kaiser Permanente Sunny- diovascula; American side Medical Center; Kaiser May be Ross P Vimr, MD M Y Cardiology Board of Internal Med- Y Y Permanente Westside Medical required icine; American Board Center of Internal Medicine (Interventiona Michael R American Board of Legacy Salmon Creek Medical Not M N Pediatrics Y N Wilmington, MD Pediatrics Center required Carolin T Yeung, Not F Y Optometry Not Applicable None Y N OD required

Page 122 19414_09-21 American Board of Internal Medicine James J Yoon, May be M Y Nephrology (Nephrology); Ameri- None Y N MD required can Board of Internal Medicine David A Young, Internal American Board of Not M Y None Y N MD Medicine Internal Medicine required

Salmon Creek Medical/Dental Offices 14406 NE 20th Ave Vancouver, WA. 98686 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Heidi J Mental Not F N Not Applicable None Y N Kirkpatrick, LMFT Health required Ann F Lauritsen, Mental Not F Y Not Applicable None Y N LCSW Health required Lucia P Parker, Mental Not F N Not Applicable None Y N LCSW Health required

Skyline Medical Offices 5125 Skyline Rd S Salem, OR. 97306 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid American Nurses Kaiser Permanente Sunny- Hematol- Michelle D Credentialing Center; side Medical Center; Kaiser May be F Y ogy and Y Y Anthony, ANP Oncology Nursing Cer- Permanente Westside Medical required Oncology tification Corporation Center; Salem Hospital National Commission Family Not Kurt L Atkin, PA-C M N on Certification of Phys None Y Y Medicine required Assis Leslie A Belfanti, May be F Y Nutrition None Y N CDE required

Page 123 19414_09-21 American Board of Kaiser Permanente Sunny- John A Borgoy, Pain Anesthesiology; side Medical Center; Kaiser May be M Y Y Y MD Management American Board of Permanente Westside Medical required Anesthesiology Center Kaiser Permanente Sunny- Obstet- American College of Susan A Brewer, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y Y CNM Permanente Westside Medical required Gynecology cation C Center Kaiser Permanente Sunny- Matthew D American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y Budge, MD thopaedic Surgery Permanente Westside Medical required Center; Salem Hospital Family American Board of Fam- Not Sara J Bybee, MD F Y None Y Y Medicine ily Medicine required American Board of Internal Medicine (Ne- Kaiser Permanente Sunny- Mark Anthony C phrology); American side Medical Center; Kaiser May be M Y Nephrology Y Y Cabrera, MD Board of Internal Medi- Permanente Westside Medical required cine; American Board of Center; Salem Hospital Internal Medicine Amber C Carlson, National Board of Exam- Not F Y Optometry None Y Y OD iners in Optometry required Kaiser Permanente Sunny- Hematol- Diane M American Academy of side Medical Center; Kaiser May be F Y ogy and Y Y Cockburn, ANP Nurse Practitioners Permanente Westside Medical required Oncology Center Obstet- American Osteopathic Leah S Cordero, Not F Y rics and Board of Obstetrics & None Y Y DO required Gynecology Gynecol American Board of Inte- Susan P Corzilius, Family grative Hollistic Medi- Not F N None Y Y MD Medicine cine; American Board of required Family Medicine Occupation- May be Andrew J Cox, OT M Y None Y N al Therapy required Wesley D American Board of Not M Y Optometry None Y Y Crockett, OD Optometry required

Page 124 19414_09-21 American Board of In- Kaiser Permanente Sunny- ternal Medicine; Amer- side Medical Center; Kaiser Hematol- ican Board of Internal Daniel I Da Graca, Permanente Westside Med- May be M Y ogy and Medicine (Hematology); Y Y MD ical Center; Legacy Salmon required Oncology American Board of In- Creek Medical Center; Salem ternal Medicine (Medi- Hospital cal Oncol Suzanne M Family American Board of Fam- Not F N None Y Y Deschamps, MD Medicine ily Medicine required American Board of Kaiser Permanente Sunny- Podiatric Surgery (Re- Ryan R Downey, side Medical Center; Kaiser May be M Y Podiatry construct R; American Y Y DPM Permanente Westside Medical required Board of Podiatric Sur- Center gery (Foot Surgery) Kaiser Permanente Sunny- Kristopher C General American Board of side Medical Center; Kaiser May be M Y Y Y Dozier, MD Surgery Surgery Permanente Westside Medical required Center; Salem Hospital American Board of Sur- Kaiser Permanente Sunny- Juan Carlos General gery; American Board side Medical Center; Kaiser May be M Y Spanish Y Y Esguerra, MD Surgery of Surgery (Surgical Permanente Westside Medical required Critical Care) Center; Salem Hospital Obstet- American Osteopathic Dawn L Estelle, Not F Y rics and Board of Obstetrics & Salem Hospital Y Y DO required Gynecology Gynecol Justin T Family American Board of Fam- Not M Y None Y Y Gathercoal, DO Medicine ily Medicine required American Board of Kaiser Permanente Sunny- Orthopaedic Surgery Rey Dominique L side Medical Center; Kaiser May be M Y Orthopedics (Hand Surger; American Y Y Gumboc, MD Permanente Westside Medical required Board of Orthopaedic Center; Salem Hospital Surgery Brian L Gumbs, American Board of Not M Y Pediatrics Salem Hospital Y Y MD Pediatrics required Kaiser Permanente Sunny- Michael P Hahn, American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y MD thopaedic Surgery Permanente Westside Medical required Center; Salem Hospital

Page 125 19414_09-21 Kaiser Permanente Sunny- Andrea S American Board of side Medical Center; Kaiser May be F Y Urology Y Y Hatchette, MD Urology Permanente Westside Medical required Center; Salem Hospital Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Alan R Hay, MD M Y Urology Y Y Urology Permanente Westside Medical required Center; Salem Hospital Family American Board of Fam- Not John R Hayes, MD M Y None Spanish Y Y Medicine ily Medicine required National Commission May be Joel Horst, PA-C M Y Urology on Certification of Phys None Y Y required Assis American Board of Internal Medicine Marion E Howard, Internal Not F N (Geriatric Med; Amer- None Y Y MD Medicine required ican Board of Internal Medicine Obstet- Kaiser Permanente Sunny- American Board of Ob- Not Ming H Hsieh, MD M Y rics and side Medical Center; Salem Y Y stetrics and Gynecology required Gynecology Hospital Eileen R Johnson, Physical May be F Y Not Applicable None Y Y PT Therapy required Katherine M Physical May be F Y None Y N Johnson, PT Therapy required American Board of James R Joyner, Family Medicine; Amer- May be M Y Orthopedics None Y Y MD ican Board of Family required Medicine American Board of Kaiser Permanente Sunny- Internal Medicine Hsin-Hsuan Juo, Rheumatol- side Medical Center; Kaiser May be F Y (Rheumatology); Amer- Y Y MD ogy Permanente Westside Medical required ican Board of Internal Center Medicine Anneliis Juurma, Internal American Board of Not F Y None Y Y MD Medicine Internal Medicine required

Page 126 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Benjamin A Katz, Ophthalmol- American Board of Permanente Westside Med- May be M Y Y Y MD ogy Ophthalmology ical Center; Legacy Salmon required Creek Medical Center; Salem Hospital Kaiser Permanente Sunny- Lindsay D Kiyama, General American Board of side Medical Center; Kaiser May be F Y Y Y MD Surgery Surgery Permanente Westside Medical required Center National Commission Kaiser Permanente West- Cheryl M May be F Y Orthopedics on Certification of Phys side Medical Center; Salem Y Y Kuehnel, PA-C required Assis Hospital National Commission Kaiser Permanente West- Michael O Larsen, May be M Y Orthopedics on Certification of Phys side Medical Center; Salem Y Y PA-C required Assis Hospital Not Eric J Leavitt, OD M Y Optometry Not Applicable None Y Y required Kaiser Permanente Sunny- Henry Lin, MD, Ophthalmol- American Board of side Medical Center; Kaiser May be M Y Y Y PhD ogy Ophthalmology Permanente Westside Medical required Center Janice A Family American Board of Fam- Not F Y None Y Y Lindstrom, MD Medicine ily Medicine required Obstet- Kaiser Permanente Sunny- Kristin J American Board of Ob- Not F Y rics and side Medical Center; Salem Y Y Livingston, MD stetrics and Gynecology required Gynecology Hospital Mark N Margoles, Family American Board of Fam- Not M N None Y Y MD Medicine ily Medicine required Kaiser Permanente Sunny- Sarah A Markham, General American Board of side Medical Center; Kaiser May be F Y Y Y MD Surgery Surgery Permanente Westside Medical required Center; Salem Hospital Kaiser Permanente Sunny- Gloria A Marlowe, General American Board of side Medical Center; Kaiser May be F Y Y Y MD Surgery Surgery Permanente Westside Medical required Center; Salem Hospital Michael A American Board of Not M Y Pediatrics Salem Hospital Y Y Marlowe, MD Pediatrics required

Page 127 19414_09-21 Michael R Martel, Speech May be M Y None Y N ST Therapy required American Board of Kaiser Permanente Sunny- Internal Medicine (Med- side Medical Center; Kaiser Hematol- ical Oncol; American Sandeep H Permanente Westside Med- May be M Y ogy and Board of Internal Med- Y Y Mashru, MD ical Center; Legacy Salmon required Oncology icine; American Board Creek Medical Center; Salem of Internal Medicine Hospital (Hematology) American Board of Kaiser Permanente Sunny- Margo A Internal Medicine side Medical Center; Kaiser Not McGehee-Kelly, F N Geriatrics (Hospice & Pal; Amer- Y Y Permanente Westside Medical required MD ican Board of Internal Center Medicine Carmelo S Mejia, Internal American Board of Not M Y None Y Y MD Medicine Internal Medicine required American Board of Radiology (Diagnostic Noelle E May be F Y Radiology Radiology); American None Y Y Montano, MD required Board of Radiology (Neuroradiology) Physical May be Jon T Moore, PT M Y None Y N Therapy required Obstet- American College of Christian O’Haire, Not F Y rics and Nurse Midwives Certifi- None Y Y CNM required Gynecology cation C Gwendolyn A Family American Board of Fam- Not F Y Salem Hospital Y Y Oran, MD Medicine ily Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Erika K Ophthalmol- American Board of Permanente Westside Med- May be F Y Y Y Osterholzer, MD ogy Ophthalmology ical Center; Legacy Salmon required Creek Medical Center; Salem Hospital American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser May be Ken J Park, MD M Y Nephrology (Nephrology); Ameri- Y Y Permanente Westside Medical required can Board of Internal Center; Salem Hospital Medicine Kyla N Pepper, Family American Board of Fam- Not F N Salem Hospital Y Y MD Medicine ily Medicine required

Page 128 19414_09-21 Physical May be Steven Pitman, PT M Y Not Applicable None Y Y Therapy required Obstet- Jonathan E American Board of Ob- Not M Y rics and Salem Hospital Y Y Pugmire, MD stetrics and Gynecology required Gynecology Christopher J Family American Board of Fam- Not M Y None Y Y Schmitt, MD Medicine ily Medicine required Kaiser Permanente Sunny- National Commission Casey L Shaw, side Medical Center; Kaiser May be M Y Orthopedics on Certification of Phys Y Y PA-C Permanente Westside Medical required Assis Center; Salem Hospital Kelly A Smucker, American Board of Not F Y Pediatrics Salem Hospital Y Y MD Pediatrics required American Board of In- Kaiser Permanente Sunny- Christian A Speer, Gastroenter- ternal Medicine; Amer- side Medical Center; Kaiser May be M Y Y Y MD ology ican Board of Internal Permanente Westside Medical required Medicine (Gastroenterol Center; Salem Hospital American Board of Podi- Jarod B Spencer, atric Medicine; Ameri- May be M Y Podiatry None Y Y DPM can Board of Foot and required Ankle Surgery Obstet- Kaiser Permanente Sunny- Joseph Stalfire III, American Board of Ob- Not M Y rics and side Medical Center; Salem Y Y MD stetrics and Gynecology required Gynecology Hospital Ashley R Stanford, Physical May be F Y None Y N DPT Therapy required Charles F Stein IV, Family American Osteopathic Not M Y None Y Y DO Medicine Board of Family Practice required Kaiser Permanente Sunny- American Board of Srinivasan Gastroenter- side Medical Center; Kaiser May be M Y Internal Medicine Y Y Subramanian, MD ology Permanente Westside Medical required (Gastroenterol Center; Salem Hospital Family American Board of Fam- Not Amy Sutkus, MD F N None Y Y Medicine ily Medicine required Megan B Swift, Physical May be F Y None Y N DPT Therapy required Kaiser Permanente Sunny- American Board of Daniel L Tarbox, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center

Page 129 19414_09-21 American Board of In- Kaiser Permanente Sunny- Hematol- ternal Medicine; Amer- Matthew D side Medical Center; Kaiser May be M Y ogy and ican Board of Internal Y Y Tipping, MD Permanente Westside Medical required Oncology Medicine (Medical Center; Salem Hospital Oncol Obstet- American Board of Kaiser Permanente Sunny- Alison M Not F Y rics and ObGyn (Female Pelvic side Medical Center; Salem Y Y Uyemura, MD required Gynecology Medicine an Hospital American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Hematol- (Medical Oncol; Amer- Jennifer P Waugh, Permanente Westside Med- May be F Y ogy and ican Board of Internal Y Y MD ical Center; Legacy Salmon required Oncology Medicine (Hematolo- Creek Medical Center; Salem gy); American Board of Hospital Internal Medicine Kaiser Permanente Sunny- Michael A American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y Weathers, MD thopaedic Surgery Permanente Westside Medical required Center; Salem Hospital Kaiser Permanente Sunny- side Medical Center; Kaiser Travis J Widman, American Board of May be M Y Dermatology Permanente Westside Medical Y Y MD Dermatology required Center; Legacy Salmon Creek Medical Center American Board of Not Yu C Xu, MD F Y Pediatrics Salem Hospital Y Y Pediatrics required Lindsey Physical May be deCampos- F Y None Y N Therapy required Stairiker, PT

Skyline Medical Offices 5125 Skyline Rd S Salem, OR. 97306 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- Philip B Mental American Board of Psy- side Medical Center; Kaiser Not M Y Y N Anderson, MD Health chiatry and Neurology Permanente Westside Medical required Center

Page 130 19414_09-21 Kaiser Permanente Sunny- Shawn R Criswell, Mental side Medical Center; Kaiser Not F Y Not Applicable Y N LPC Health Permanente Westside Medical required Center Shawn M Croskey, Mental National Board for Cer- Not M Y None Y N LPC Health tified Counselors required Sara R DeVaney, Mental Not F Y Not Applicable None Y N LCSW Health required Addiction Counselor Jesse J Decker, Addiction Not M Y Certification Board of None Y N CADC I Medicine required Oregon Dovie A Desirey, Mental Not F Y Not Applicable None Y N LCSW Health required Lianne M Dyche, Mental Not F Y Not Applicable None Y N LCSW Health required Carrie L Geibel, Mental Not F Y Not Applicable None Y N LCSW Health required Christine A Hall- Mental Not F Y Not Applicable None Y N Brown, LCSW Health required Allison M Kato- Mental Certified Alcohol Drug Not F Y None Y N Dilks, LPC Health Counselor I required Lindsay M Laux- Mental Not F Y Not Applicable None Y N Pittman, LCSW Health required Addiction Counselor Jenna L Li, CADC Addiction Not F Y Certification Board of None Y N I Medicine required Oregon Ward A Lofgren, Mental Not M Y Not Applicable None Y N LPC Health required Mechelle M Mental Not F Y Not Applicable None Y N Millmaker, LPC Health required Belinda R Pearl, Mental National Board for Cer- Not F Y None Y N LCSW Health tified Counselors required Mental Not Julia C Ray, PsyD F Y Not Applicable None Y N Health required Jose Rodriguez, Mental Not M Y Not Applicable None Spanish Y N LPC Health required Kimberley R Mental Not F Y Not Applicable None Y N Savage, PhD Health required

Page 131 19414_09-21 American Board of Kaiser Permanente Sunny- Child and Psychiatry and Neurol- Janis J Strickler, side Medical Center; Kaiser Not F Y Adolescent ogy (Child/; American Y N MD Permanente Westside Medical required Psychiatry Board of Psychiatry and Center Neurology (Psychi American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- Mandrill R Taylor, Mental side Medical Center; Kaiser Not M Y ogy (Addict; American Y N MD, MPH Health Permanente Westside Medical required Board of Psychiatry and Center Neurology (Psychi Martha R Witt, Mental Not F Y Not Applicable None Y N LPC Health required Kaiser Permanente Sunny- American Board of Psy- Brandon J Yeager, Mental side Medical Center; Kaiser Not M Y chiatry and Neurology Y N MD Health Permanente Westside Medical required (Psychi Center

Sunnybrook Medical Offices 9900 SE Sunnyside Rd Clackamas, OR. 97015 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- side Medical Center; Kaiser Douglas A American Board of May be M Y Urology Permanente Westside Medical Y Y Ackerman, MD Urology required Center; Legacy Salmon Creek Medical Center American Board of Kaiser Permanente Sunny- Internal Medicine Kamran Aghaie, Gastroenter- side Medical Center; Kaiser May be M Y (Gastroenterol; Amer- Y Y MD ology Permanente Westside Medical required ican Board of Internal Center Medicine Margie U Family American Board of Fam- Not F Y None Y N Apacible, MD Medicine ily Medicine required American Board of In- Nathaniel S Baer, ternal Medicine; Amer- May be M Y Orthopedics None Y Y MD ican Board of Internal required Medicine (Sports Medici

Page 132 19414_09-21 Family American Board of Fam- Not Kathy K Bak, MD F Y None Y Y Medicine ily Medicine required Kaiser Permanente Sunny- Adam P Baker, American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y MD thopaedic Surgery Permanente Westside Medical required Center American Board of Podi- atric Medicine; Ameri- May be Jana Balas, DPM F Y Podiatry None Y N can Board of Foot and required Ankle Surgery Kaiser Permanente Sunny- side Medical Center; Kaiser Bennett E Barch, Otolaryngol- American Board of May be M Y Permanente Westside Medical Y N MD ogy Otolaryngology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- National Commission Melissa B Barone, General side Medical Center; Kaiser May be F Y on Certification of Phys Y Y PA-C Surgery Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- side Medical Center; Kaiser Matthew G Basco, American Board of May be M Y Dermatology Permanente Westside Medical Y Y MD Dermatology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- National Commission Stacy B Booth, side Medical Center; Kaiser May be F Y Orthopedics on Certification of Phys Y Y PA-C Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- Margaret C General American Board of side Medical Center; Kaiser May be F Y Y Y Bower, MD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- side Medical Center; Kaiser Samielle K General American Board of May be F Y Permanente Westside Medical Y Y Brancato, MD Surgery Surgery required Center; Legacy Salmon Creek Medical Center Jennifer R Briggs, May be F Y Audiology Not Applicable None Y Y AUD required Kelsey M Brody, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required

Page 133 19414_09-21 Kaiser Permanente Sunny- Nathan W General American Board of side Medical Center; Kaiser May be M Y Y Y Bronson, MD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Lorena Brown, General American Nurses Cre- side Medical Center; Kaiser May be F Y Spanish Y Y FNP-BC Surgery dentialing Center Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Internal Medicine Benjamin J Gastroenter- side Medical Center; Kaiser May be M Y (Gastroenterol; Amer- Y Y Bryant, MD ology Permanente Westside Medical required ican Board of Internal Center Medicine Brenda L Buck, General May be F Y None Y N RD Surgery required Kaiser Permanente Sunny- National Commission Mathew D side Medical Center; Kaiser May be M Y Orthopedics on Certification of Phys Y Y Buechel, PA-C Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- side Medical Center; Kaiser Richard A Burt, American Board of May be M Y Urology Permanente Westside Medical Y Y MD Urology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- National Commission Jaimie N Caiazzo, side Medical Center; Kaiser May be F Y Orthopedics on Certification of Phys Y Y PA-C Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- Lauren M Cass, Otolaryngol- American Board of side Medical Center; Kaiser May be F Y Y Y MD, MPH ogy Otolaryngology Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Sungeyun D Cho, General olon/Rectal Surgery; side Medical Center; Kaiser May be M Y Y Y MD Surgery American Board of Permanente Westside Medical required Surgery Center Kaiser Permanente Sunny- Hao-Jun J Chong, Plastic American Board of Plas- side Medical Center; Kaiser May be M Y Y Y MD Surgery tic Surgery Permanente Westside Medical required Center

Page 134 19414_09-21 American Board of Internal Medicine Masuma Internal Not F Y (Geriatric Med; Amer- None Y Y Chowdhury, MD Medicine required ican Board of Internal Medicine Kaiser Permanente Sunny- side Medical Center; Kaiser Tony S Clinton, American Board of May be M Y Dermatology Permanente Westside Medical Y Y MD Dermatology required Center; Legacy Salmon Creek Medical Center Amy T Conway, Physical May be F Y Not Applicable None Y Y MSPT Therapy required Kaiser Permanente Sunny- American Board of Trent E Corpron, side Medical Center; Kaiser May be M Y Podiatry Podiatric Surgery (Foot Y Y DPM Permanente Westside Medical required Surgery) Center Kaiser Permanente Sunny- Sarah M Cowgill, General American Board of side Medical Center; Kaiser May be F Y Y Y MD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Sarah S Cox, General side Medical Center; Kaiser May be F Y Not Applicable Y Y LCSW Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Jason M DeVille, May be M Y Nephrology Internal Medicine Permanente Westside Medical Y N DO required (Nephrology) Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- National Commission Otolaryngol- side Medical Center; Kaiser May be Grace Deng, PA-C F Y on Certification of Phys Y Y ogy Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- American Board of Anne M Denys, side Medical Center; Kaiser May be F Y Orthopedics Orthopaedic Surgery Y Y MD Permanente Westside Medical required (Sports Medi Center American Board of Kaiser Permanente Sunny- Anthony J Podiatric Surgery (Re- side Medical Center; Kaiser May be Domenigoni, M Y Podiatry construct R; American Y Y Permanente Westside Medical required DPM Board of Podiatric Sur- Center gery (Foot Surgery)

Page 135 19414_09-21 Kaiser Permanente Sunny- National Commission Matthew A General side Medical Center; Kaiser May be M Y on Certification of Phys Y Y Dowell, PA-C Surgery Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- Valerie A Downey, General American Board of side Medical Center; Kaiser May be F Y Y Y MD Surgery Internal Medicine Permanente Westside Medical required Center Kaiser Permanente Sunny- National Commission Corrie A Doyle, General side Medical Center; Kaiser May be F Y on Certification of Phys Y Y PA-C Surgery Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- side Medical Center; Kaiser Sunshine M Otolaryngol- American Board of Permanente Westside Medical May be F Y Y Y Dwojak, MD, MPH ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University American Board of Kaiser Permanente Sunny- Physical Medicine/ Jennifer L Dwyer, side Medical Center; Kaiser May be F Y Physiatry Rehabilitation; Amer- Y Y DO Permanente Westside Medical required ican Board of Physical Center Medicine/Rehabilitation Kaiser Permanente Sunny- National Commission Kristina M Otolaryngol- side Medical Center; Kaiser May be F Y on Certification of Phys Y Y Dwyhalo, PA ogy Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- American Board of Andrea L Ferreiro, side Medical Center; Kaiser May be F Y Physiatry Physical Medicine/ Y Y DO Permanente Westside Medical required Rehabilitation Center Lynda L Kaiser Permanente Sunnyside May be F Y Audiology Not Applicable Y Y Fitzpatrick, AUD Medical Center required Patricia L Fletter, May be F Y Audiology Not Applicable None Y Y AUD required Jennifer Fritzsche, May be F Y Nephrology None Y N LD required Kaiser Permanente Sunny- American Board of Gastroenter- side Medical Center; Kaiser May be Samita Garg, MD F Y Internal Medicine Y Y ology Permanente Westside Medical required (Gastroenterol Center

Page 136 19414_09-21 Kaiser Permanente Sunny- Jennifer G General American Board of side Medical Center; Kaiser May be F Y Y Y Garnand, MD Surgery Internal Medicine Permanente Westside Medical required Center Kaiser Permanente Sunny- National Commission side Medical Center; Kaiser Carolyn M May be F Y Orthopedics on Certification of Phys Permanente Westside Medi- Y Y Garnett, PA-C required Assis cal Center; Oregon Health & Science University Kaiser Permanente Sunny- side Medical Center; Kaiser American Board of May be Susan D Gass, MD F Y Dermatology Permanente Westside Medical Y Y Dermatology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Mary E Giswold, General American Board of side Medical Center; Kaiser May be F Y Y Y MD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Oto- side Medical Center; Kaiser John C Goddard, Otolaryngol- laryngology; American Permanente Westside Medical May be M Y Y Y MD ogy Board of Otolaryngolo- Center; Legacy Salmon Creek required gy (Neurotology) Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- National Commission Stephen L Godsil, side Medical Center; Kaiser May be M Y Orthopedics on Certification of Phys Y Y PA-C Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- Alexander J Plastic American Board of Plas- side Medical Center; Kaiser May be M Y Y Y Gougoutas, MD Surgery tic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Daniel J Granville, side Medical Center; Kaiser May be M Y Podiatry Podiatric Surgery (Foot Y Y DPM Permanente Westside Medical required Surgery) Center Kaiser Permanente Sunny- Siobhan H Gray, American Board of side Medical Center; Kaiser May be F Y Cardiology Y Y MD Internal Medicine Permanente Westside Medical required Center

Page 137 19414_09-21 Kaiser Permanente Sunny- Chauncey T General American Board of side Medical Center; Kaiser May be M Y Y Y Griggs, MD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- side Medical Center; Kaiser Anna H Grosz, Otolaryngol- American Board of Permanente Westside Medical May be F Y Y Y MD ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- Rebecca J Otolaryngol- American Board of side Medical Center; Kaiser May be F Y Y Y Hammon, MD ogy Otolaryngology Permanente Westside Medical required Center American Board of In- Cami L Infectious ternal Medicine; Amer- May be F Y None Y Y Hilsendager, MD Disease ican Board of Internal required Medicine (Infectious Di Kaiser Permanente Sunny- Otolaryngol- American Board of side Medical Center; Kaiser May be Justin W Holt, MD M Y Y Y ogy Otolaryngology Permanente Westside Medical required Center Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of May be Jeffrey V Hsu, MD M Y Permanente Westside Medical Y Y ogy Otolaryngology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of Michael C Hsu, side Medical Center; Kaiser May be M Y Physiatry Physical Medicine/ Y Y MD Permanente Westside Medical required Rehabilitation Center American Board of Kaiser Permanente Sunny- Internal Medicine Thomas P Huber, Gastroenter- side Medical Center; Kaiser May be M Y (Gastroenterol; Amer- Y Y MD ology Permanente Westside Medical required ican Board of Internal Center Medicine Kaiser Permanente Sunny- side Medical Center; Kaiser Sande B Irwin, Otolaryngol- American Board of Permanente Westside Medical May be F Y Y Y MD ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University

Page 138 19414_09-21 Kaiser Permanente Sunny- American Osteopathic James M side Medical Center; Kaiser May be M Y Orthopedics Board of Orthopedic Y Y Jackman, DO Permanente Westside Medical required Surgery Center American Board of Internal Medicine (Adv Heart Fai; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser Timothy D May be M Y Cardiology Medicine (Cardiovas- Permanente Westside Medical Y Y Jacobson, MD required cula; American Board Center; Legacy Salmon Creek of Internal Medicine; Medical Center National Board of Echocardiography Kaiser Permanente Sunny- side Medical Center; Kaiser Jeffrey E American Board of May be M Y Urology Permanente Westside Medical Y Y Johnson, MD Urology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of Susan E Johnson, Gastroenter- side Medical Center; Kaiser May be F Y Internal Medicine Y Y MD ology Permanente Westside Medical required (Gastroenterol Center Kaiser Permanente Sunny- National Commission Aubrey A Joslin, Plastic side Medical Center; Kaiser May be F Y on Certification of Phys Y Y PA-C Surgery Permanente Westside Medical required Assis Center Philippe Justel, Physical May be M Y Not Applicable None Y Y PT Therapy required Kaiser Permanente Sunny- side Medical Center; Kaiser Kenneth M Kang, American Board of May be M Y Dermatology Permanente Westside Medical Y Y MD Dermatology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Internal Medicine (Adv Permanente Westside Med- May be Priya Kansal, MD F Y Cardiology Heart Fai; American Y Y ical Center; Legacy Salmon required Board of Internal Medi- Creek Medical Center; Salem cine (Cardiovascula Hospital

Page 139 19414_09-21 Kaiser Permanente Sunny- American Board of Krishna S Kasturi, Gastroenter- side Medical Center; Kaiser May be M Y Internal Medicine Y Y MD ology Permanente Westside Medical required (Gastroenterol Center Kaiser Permanente Sunny- side Medical Center; Kaiser Rahul Kasukurthi, Plastic American Board of Plas- May be M Y Permanente Westside Medi- Y Y MD Surgery tic Surgery required cal Center; Oregon Health & Science University Kaiser Permanente Sunny- Cara M Katzer, Otolaryngol- American Board of side Medical Center; Kaiser May be F Y Y Y MD ogy OHNS Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Matthew P Kaul, side Medical Center; Kaiser May be M Y Physiatry Physical Medicine/ Y N MD Permanente Westside Medical required Rehabilitation Center Kaiser Permanente Sunny- National Commission Douglas C Keller, side Medical Center; Kaiser May be M Y Orthopedics on Certification of Phys Y Y PA-C Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Eric H Kilber, MD M Y Dermatology Y Y Dermatology Permanente Westside Medical required Center Kaiser Permanente Sunny- Charles Y Kim, General American Board of side Medical Center; Kaiser May be M Y Y Y MD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Sajeevani G Kim, May be F Y Cardiology Internal Medicine Permanente Westside Medical Y N MD, PhD required (Cardiovascula Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- General American Nurses Cre- side Medical Center; Kaiser May be Maria S Kling, NP F Y Y Y Surgery dentialing Center Permanente Westside Medical required Center

Page 140 19414_09-21 Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Susan E Koch, MD F Y Dermatology Dermatology; American Permanente Westside Medical Y Y required Board of Pediatrics Center; Legacy Salmon Creek Medical Center American Board of Kaiser Permanente Sunny- Podiatric Surgery (Re- Richard S side Medical Center; Kaiser May be M Y Podiatry construct R; American Y Y Krahnke, DPM Permanente Westside Medical required Board of Podiatric Sur- Center gery (Foot Surgery) Kaiser Permanente Sunny- side Medical Center; Kaiser Andrew D Otolaryngol- American Board of Permanente Westside Medical May be M Y Y Y Kroeker, MD ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University American Board of In- ternal Medicine; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser May be Arun Kuchela, MD M Y Cardiology Medicine (Cardiovas- Y Y Permanente Westside Medical required cula; American Board Center of Internal Medicine (Interventiona Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of May be Connie Y Kuo, MD F Y Permanente Westside Medical Y Y ogy Otolaryngology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Dale F May be M Y Cardiology Internal Medicine Permanente Westside Medical Y N Lamberton, MD required (Cardiovascula Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Internal Medicine Daniel P Lavery, Permanente Westside Med- May be M Y Cardiology (Cardiovascula; Amer- Y Y MD ical Center; Legacy Salmon required ican Board of Internal Creek Medical Center; Salem Medicine Hospital

Page 141 19414_09-21 American Board of Kaiser Permanente Sunny- Podiatric Surgery (Re- Steven E Laxson, side Medical Center; Kaiser May be M Y Podiatry construct R; American Y Y DPM Permanente Westside Medical required Board of Podiatric Sur- Center gery (Foot Surgery) American Board of Internal Medicine Kaiser Permanente Sunny- (Infectious Di; Ameri- side Medical Center; Kaiser Peter A Leahey, Immune May be M Y can Board of Internal Permanente Westside Medical Y Y MD Deficiency required Medicine (Infectious Center; Legacy Salmon Creek Di; American Board of Medical Center Internal Medicine Kaiser Permanente Sunny- Kathryn A Leavitt, Otolaryngol- American Board of side Medical Center; Kaiser May be F Y Y Y MD ogy Otolaryngology Permanente Westside Medical required Center Kaiser Permanente Sunny- Internal American Board of side Medical Center; Kaiser Not Lisa A Leavitt, MD F N Y Y Medicine Internal Medicine Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Christina Y Lee, side Medical Center; Kaiser May be F Y Physiatry Physical Medicine/ Y Y MD Permanente Westside Medical required Rehabilitation Center Kaiser Permanente Sunny- Andre R Leger, General American Board of side Medical Center; Kaiser May be M Y Y Y MD Surgery Surgery Permanente Westside Medical required Center American Board of Pediatric Kaiser Permanente Sunnyside Kristina L Pediatrics (Gastroenter- May be F Y Gastroenter- Medical Center; OHSU/Doer- Y Y Leinwand, DO ology); American Board required ology nbecher Childrens of Pediatrics Kaiser Permanente Sunny- American Board of In- side Medical Center; Kaiser Andrew J Leitz, Infectious ternal Medicine; Amer- May be M Y Permanente Westside Medical Y Y MD Disease ican Board of Internal required Center; Legacy Salmon Creek Medicine (Infectious Di Medical Center Kaiser Permanente Sunny- American Board of Weitian Liu, MD, Gastroenter- side Medical Center; Kaiser May be M Y Internal Medicine Y Y PhD ology Permanente Westside Medical required (Gastroenterol Center

Page 142 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Steven A Long, Otolaryngol- American Board of Permanente Westside Medical May be M Y Y Y MD ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- Robert General American Board of side Medical Center; Kaiser May be M Y Y Y Ludemann, MD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Leanna W Mah, American Board of side Medical Center; Kaiser May be F Y Urology Y Y MD Urology Permanente Westside Medical required Center Ritu Manocha, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Mariah N Mason, American Board of May be F Y Dermatology Permanente Westside Medical Y Y MD Dermatology required Center; Legacy Salmon Creek Medical Center American Board of Int Med (Adult Congenital Kaiser Permanente Sunny- Heart ; American Board side Medical Center; Kaiser Joel D McLarry, May be M Y Cardiology of Internal Medicine; Permanente Westside Medical Y Y MD required American Board of Center; Legacy Salmon Creek Internal Medicine Medical Center (Cardiovascula Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Lori L McMullan, May be F Y Cardiology Internal Medicine Permanente Westside Medical Y Y MD, MPH required (Cardiovascula Center; Legacy Salmon Creek Medical Center Lori R Mcclure, Pediatric Nursing Certi- May be F Y Urology None Y Y CPNP fication Board required Kaiser Permanente Sunny- American Board of Chinar S Mehta, Gastroenter- side Medical Center; Kaiser May be M Y Internal Medicine Y N MD ology Permanente Westside Medical required (Gastroenterol Center Nicole J Meunier, American Board of May be F Y Dermatology None Y N MD Dermatology required

Page 143 19414_09-21 Heather N May be F Y Nephrology None Y N Mirenda, MSW required American Board of In- Kaiser Permanente Sunny- Anuja Mittal- General ternal Medicine; Amer- side Medical Center; Kaiser May be F Y Y Y Henkle, MD, MPH Surgery ican Board of Internal Permanente Westside Medical required Medicine (Nephrology) Center American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Scott K Miyake, May be M Y Nephrology (Nephrology); Ameri- Permanente Westside Medical Y N MD required can Board of Internal Center; Legacy Salmon Creek Medicine Medical Center Kaiser Permanente Sunny- Christopher J General American Board of side Medical Center; Kaiser May be M Y Y Y Moran, MD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Jennifer A Plastic American Board of Plas- side Medical Center; Kaiser May be F Y Y Y Murphy, MD Surgery tic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Scott L Nasson, American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y MD thopaedic Surgery Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Hien M Nguyen, Infectious May be M Y (Infectious Di; Ameri- Permanente Westside Medical Y Y MD Disease required can Board of Internal Center; Legacy Salmon Creek Medicine Medical Center Kaiser Permanente Sunny- American Board of Minh C Nguyen, side Medical Center; Kaiser May be M Y Physiatry Physical Medicine/ Y Y MD, MPH Permanente Westside Medical required Rehabilitation Center James R O’Brien, Family American Board of Fam- Not M N None Spanish Y Y MD Medicine ily Medicine required Kaiser Permanente Sunny- Michael J General American Board of side Medical Center; Kaiser May be M Y Y Y O’Toole, MD Surgery Surgery Permanente Westside Medical required Center Internal American Board of Not Albert S Oh, MD M N None Y Y Medicine Internal Medicine required

Page 144 19414_09-21 Kaiser Permanente Sunny- Neurosur- American Board of Or- side Medical Center; Kaiser May be George S Oji, MD M Y Y Y gery thopaedic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Tiffiney K Oleyte, General American Nurses Cre- side Medical Center; Kaiser May be F Y Y Y FNP Surgery dentialing Center Permanente Westside Medical required Center Kaiser Permanente Sunny- Christine J Olson, General American Board of side Medical Center; Kaiser May be F Y Y Y MD, MPH Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Nathan D Orvets, American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y MD thopaedic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Pavlos General American Board of side Medical Center; Kaiser May be M Y Y Y Papavasiliou, MD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Sur- David P Parsons, General side Medical Center; Kaiser May be M Y gery; American Board Y Y MD Surgery Permanente Westside Medical required of olon/Rectal Surgery Center; Salem Hospital American Board of Podiatric Surgery (Re- Bennie L Patmon, May be M Y Podiatry construct R; American None Y Y DPM required Board of Podiatric Sur- gery (Foot Surgery) American Board of Andrea L Payne Internal Obesity Medicine; Not F Y None Y Y Osterlund, DO Medicine American Board of required Internal Medicine Internal American Board of Not Anna P Peter, MD F N None Y Y Medicine Internal Medicine required Kaiser Permanente Sunny- National Commission Andrew K Phan, Otolaryngol- side Medical Center; Kaiser May be M Y on Certification of Phys Y Y PA-C ogy Permanente Westside Medical required Assis Center

Page 145 19414_09-21 Kaiser Permanente Sunny- American Board of Jason J Powers, Gastroenter- side Medical Center; Kaiser May be M Y Internal Medicine Y Y MD ology Permanente Westside Medical required (Gastroenterol Center Stephen A American Board of May be M Y Urology None Y N Proctor, MD Urology required American Board of Kaiser Permanente Sunny- Christopher J Orthopaedic Surgery; side Medical Center; Kaiser May be M Y Orthopedics Y Y Rae, MD American Board of Fam- Permanente Westside Medical required ily Medicine Center Pediatric American Board Kaiser Permanente Sunnyside Ramya Ramraj, May be F Y Gastroenter- of Pediatrics Medical Center; OHSU/Doer- Y Y MD required ology (Gastroenterology) nbecher Childrens Kaiser Permanente Sunny- side Medical Center; Kaiser American Board of Permanente Westside Med- May be Eric S Reid, MD M Y Urology Y Y Urology ical Center; Legacy Salmon required Creek Medical Center; Salem Hospital Kaiser Permanente Sunny- side Medical Center; Kaiser Stephen E American Board of Or- May be M Y Orthopedics Permanente Westside Medi- Y Y Renwick, MD thopaedic Surgery required cal Center; Oregon Health & Science University National Commission Celeste J Kaiser Permanente Sunnyside May be F Y Physiatry on Certification of Phys Y Y Richardson, PA-C Medical Center required Assis Kaiser Permanente Sunny- National Commission Jonathan S Riggs, side Medical Center; Kaiser May be M Y Orthopedics on Certification of Phys Y Y PA-C Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Walter P May be M Y Cardiology Internal Medicine Permanente Westside Medical Y Y Robertson IV, MD required (Cardiovascula Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of Or- side Medical Center; Kaiser May be James E Ruf, MD M Y Orthopedics Y Y thopaedic Surgery Permanente Westside Medical required Center

Page 146 19414_09-21 Kaiser Permanente Sunny- American Board of Gastroenter- side Medical Center; Kaiser May be Amit Sadana, MD M Y Internal Medicine Y Y ology Permanente Westside Medical required (Gastroenterol Center Rosario Blanca N Family American Board of Fam- Not F N None Y N Salarzon, MD Medicine ily Medicine required American Board of Fam- Shari A Sanders, ily Medicine (Geriatric Not F Y Geriatrics None Y Y MD Medic; American Board required of Internal Medicine Kaiser Permanente Sunny- Patricia H Plastic American Board of Plas- side Medical Center; Kaiser May be F Y Y Y Sandholm, MD Surgery tic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Pamela M American Board of side Medical Center; Kaiser May be F Y Dermatology Y Y Scherer, MD Dermatology Permanente Westside Medical required Center Kaiser Permanente Sunny- Christa L Schmitt, American Board of side Medical Center; Kaiser May be F Y Dermatology Y Y MD Dermatology Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of In- side Medical Center; Kaiser Jennifer K ternal Medicine; Amer- May be F Y Nephrology Permanente Westside Medical Y Y Schneider, MD ican Board of Internal required Center; Legacy Salmon Creek Medicine (Nephrology) Medical Center American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Katie A Sharff, Infectious May be F Y (Infectious Di; Ameri- Permanente Westside Medical Y Y MD Disease required can Board of Internal Center; Legacy Salmon Creek Medicine Medical Center Kaiser Permanente Sunny- side Medical Center; Kaiser American Board of May be Amit Sharma, MD M Y Dermatology Permanente Westside Medical Y Y Dermatology required Center; Legacy Salmon Creek Medical Center Abbey L Shoultz, May be F Y Nephrology None Y N LCSW required

Page 147 19414_09-21 Kaiser Permanente Sunny- National Commission Kristien M Sima, side Medical Center; Kaiser May be F Y Urology on Certification of Phys Y Y PA-C Permanente Westside Medical required Assis Center American Board of Pedi- Family Not Ellen L Singer, MD F N atrics; American Board None Y Y Medicine required of Internal Medicine Kaiser Permanente Sunny- James V Skavaril, General American Board of side Medical Center; Kaiser May be M Y Y Y MD Surgery Internal Medicine Permanente Westside Medical required Center Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of Permanente Westside Medical May be Dana S Smith, MD M Y Y Y ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University American Board of Internal Medicine; American Board of Kaiser Permanente Sunny- Internal Medicine (Adv side Medical Center; Kaiser Divya U Soman, May be F Y Cardiology Heart Fai; National Permanente Westside Medical Y N MD required Board of Echocardiog- Center; Legacy Salmon Creek raphy; American Board Medical Center of Internal Medicine (Cardiovascula Kaiser Permanente Sunny- Jodi D Southam, American Board of Or- side Medical Center; Kaiser May be F Y Orthopedics Y Y MD thopaedic Surgery Permanente Westside Medical required Center American Board of In- Kaiser Permanente Sunny- Christian A Speer, Gastroenter- ternal Medicine; Amer- side Medical Center; Kaiser May be M Y Y Y MD ology ican Board of Internal Permanente Westside Medical required Medicine (Gastroenterol Center; Salem Hospital Rachel Stanziola, May be F Y Audiology Not Applicable None Y Y AUD required Kaiser Permanente Sunny- American Board of In- side Medical Center; Kaiser Molly S Stenzel, Immune May be F Y ternal Medicine (Infec- Permanente Westside Medical Y Y MD Deficiency required tious Di Center; Legacy Salmon Creek Medical Center

Page 148 19414_09-21 Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Katherine R May be F Y Cardiology Internal Medicine Permanente Westside Medical Y Y Strelich, MD required (Cardiovascula Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of Srinivasan Gastroenter- side Medical Center; Kaiser May be M Y Internal Medicine Y Y Subramanian, MD ology Permanente Westside Medical required (Gastroenterol Center; Salem Hospital Peter L Sunaryo, American Board of May be M Y Urology None Y N MD Urology required American Board of In- Kaiser Permanente Sunny- Leah A Swetnam, ternal Medicine; Amer- side Medical Center; Kaiser May be F Y Nephrology Y N MD ican Board of Internal Permanente Westside Medical required Medicine (Nephrology) Center Kaiser Permanente Sunny- American Board of Caroline R Tadros, Gastroenter- side Medical Center; Kaiser May be F Y Internal Medicine Y Y MD ology Permanente Westside Medical required (Gastroenterol Center American Board of Internal Medicine (Ne- Kaiser Permanente Sunny- phrology); American side Medical Center; Kaiser May be Cynthia Tai, MD F Y Nephrology Y N Board of Internal Medi- Permanente Westside Medical required cine; American Board of Center Internal Medicine Kaiser Permanente Sunny- side Medical Center; Kaiser Anil A Thomas, American Board of Permanente Westside Med- May be M Y Urology Y Y MD Urology ical Center; Legacy Salmon required Creek Medical Center; Salem Hospital American Board of In- Kaiser Permanente Sunny- ternal Medicine; Amer- side Medical Center; Kaiser Christopher O ican Board of Internal May be M Y Nephrology Permanente Westside Medical Y N Thomas, MD Medicine; American required Center; Legacy Salmon Creek Board of Internal Medi- Medical Center cine (Nephrology) Kaiser Permanente Sunny- American Board of Nundhini Gastroenter- side Medical Center; Kaiser May be F Y Internal Medicine Y Y Thukkani, MD ology Permanente Westside Medical required (Gastroenterol Center

Page 149 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Charlotte L Tsai, American Board of May be F Y Dermatology Permanente Westside Medical Y Y MD Dermatology required Center; Legacy Salmon Creek Medical Center American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser May be Mindy Tseng, MD F Y Nephrology (Nephrology); Ameri- Permanente Westside Medical Y N required can Board of Internal Center; Legacy Salmon Creek Medicine Medical Center Kaiser Permanente Sunny- side Medical Center; Kaiser Ronald J Turker, American Board of Or- May be M Y Orthopedics Permanente Westside Medi- Y Y MD thopaedic Surgery required cal Center; Oregon Health & Science University American Board of Internal Medicine Kaiser Permanente Sunny- (Interventiona; Amer- Abhimanyu side Medical Center; Kaiser May be M Y Cardiology ican Board of Internal Y Y Uberoi, MD Permanente Westside Medical required Medicine (Cardiovascu- Center la; American Board of Internal Medicine Kaiser Permanente Sunny- American Board of Edward A Uram, side Medical Center; Kaiser May be M Y Podiatry Podiatric Surgery (Foot Y Y DPM Permanente Westside Medical required Surgery) Center American Board of Kaiser Permanente Sunny- Nisha D Internal Medicine; side Medical Center; Kaiser May be F Y Dermatology Y Y Varadarajan, MD American Board of Permanente Westside Medical required Dermatology Center Richard A Varan, Family American Board of Fam- Not M Y None Y Y MD Medicine ily Medicine required American Board of Internal Medicine (Car- Kaiser Permanente Sunny- diovascula; American side Medical Center; Kaiser May be Ross P Vimr, MD M Y Cardiology Board of Internal Med- Y Y Permanente Westside Medical required icine; American Board Center of Internal Medicine (Interventiona

Page 150 19414_09-21 Kaiser Permanente Sunny- Claudia V Gastroenter- American Academy of side Medical Center; Kaiser May be F Y Y Y Vizireanu, FNP ology Nurse Practitioners Permanente Westside Medical required Center Kaiser Permanente Sunny- side Medical Center; Kaiser Matthew D American Board of May be M Y Urology Permanente Westside Medical Y Y Wagner, MD Urology required Center; Legacy Salmon Creek Medical Center American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser May be Pei-Li Wang, MD F Y Nephrology (Nephrology); Ameri- Permanente Westside Medical Y N required can Board of Internal Center; Legacy Salmon Creek Medicine Medical Center Kaiser Permanente Sunny- side Medical Center; Kaiser American Board of May be Rou Wang, MD F Y Urology Permanente Westside Medical Y Y Urology required Center; Legacy Salmon Creek Medical Center Internal American Board of Kaiser Permanente Sunnyside Not Yue L Wang, MD F N Y Y Medicine Internal Medicine Medical Center required Kaiser Permanente Sunny- side Medical Center; Kaiser Jeffery C Wheat, American Board of Permanente Westside Med- May be M Y Urology Y N MD Urology ical Center; Legacy Salmon required Creek Medical Center; Salem Hospital Kaiser Permanente Sunny- side Medical Center; Kaiser Ashley G Winter, American Board of May be F Y Urology Permanente Westside Medical Y N MD Urology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Philip Z American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y Wirganowicz, MD thopaedic Surgery Permanente Westside Medical required Center National Board of Echo- cardiography; Amer- Kaiser Permanente Sunny- Catherine Y ican Board of Internal side Medical Center; Kaiser May be F Y Cardiology Y Y Wong, MD Medicine (Cardiovascu- Permanente Westside Medical required la; American Board of Center Internal Medicine

Page 151 19414_09-21 Kaiser Permanente Sunny- American Board of Gastroenter- side Medical Center; Kaiser May be Wayne Wong, MD M Y Internal Medicine Y Y ology Permanente Westside Medical required (Gastroenterol Center American Board of Kaiser Permanente Sunny- Kevin B Dermatology (Pediat- side Medical Center; Kaiser May be M Y Dermatology Y Y Yarbrough, MD ric); American Board of Permanente Westside Medical required Dermatology Center American Board of In- Kaiser Permanente Sunny- Gastroenter- ternal Medicine; Amer- side Medical Center; Kaiser May be Qing Yu, MD M Y Y N ology ican Board of Internal Permanente Westside Medical required Medicine (Gastroenterol Center Kaiser Permanente Sunny- American Board of In- side Medical Center; Kaiser Sarah A Zapata, ternal Medicine; Amer- May be F Y Nephrology Permanente Westside Medical Y N MD ican Board of Internal required Center; Legacy Salmon Creek Medicine (Nephrology) Medical Center

Sunnybrook Medical Offices 9900 SE Sunnyside Rd Clackamas, OR. 97015 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kimberly D Addiction Not F Y Not Applicable None Y N Adams, CADC I Medicine required Giselle Barone, Mental Not F Y Not Applicable None Y N MA Health required American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- Mark A Brown, Mental side Medical Center; Kaiser Not M N ogy (Sleep ; American Y N MD Health Permanente Westside Medical required Board of Psychiatry and Center Neurology (Psychi Tawny M Childs, Mental Not F N Not Applicable None Y N LCSW Health required Sara M Migliazzo, Mental Not F Y Not Applicable None Y N LCSW Health required

Page 152 19414_09-21 Grant D Mental Not M N Not Applicable None Y N Partridge, LMFT Health required Mental Not Sara A Post, LMFT F N Not Applicable None Y N Health required Kathryn N Mental Not F Y Not Applicable None Y N Schwartz, LCSW Health required Collin B Wright, Addiction Not M Y Not Applicable None Y N CADC II Medicine required

Sunnyside Medical Center 10180 SE Sunnyside Rd Clackamas, OR. 97015 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Lacey K Abbott, Physical May be F Y None Y N LMT Therapy required Kaiser Permanente Sunny- side Medical Center; Kaiser Obstet- Stephanie L American Board of Ob- Permanente Westside Med- Not F Y rics and Y Y Ahmed, MD stetrics and Gynecology ical Center; Legacy Salmon required Gynecology Creek Medical Center; Salem Hospital Respiratory May be Ivan C Ames, CRT M Y None Y N Therapy required Sarah L Anthony, May be F Y Nutrition None Y N RD required Claudia Anukam, Occupation- May be F Y None Y N OT al Therapy required Obstet- Janis E Beeson, Not F Y rics and None Y N RD required Gynecology Anne W Beltman, Physical May be F Y None Y N PT Therapy required

Page 153 19414_09-21 American Board of Internal Medicine (Pul- Kaiser Permanente Sunny- monary Dis; American Cody J Benthin, side Medical Center; Kaiser May be M Y Pulmonology Board of Internal Med- Y Y MD Permanente Westside Medical required icine; American Board Center; Salem Hospital of Internal Medicine (Critical Care Edward P Respiratory May be M Y None Y N Birnbaum, RRT Therapy required Kaiser Permanente Sunny- American Board of Nourolhoda side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y Birouti, MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Christa B Blecher, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center American Board of In- ternal Medicine; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser May be Eric J Bonura, MD M Y Pulmonology Medicine (Pulmonary Permanente Westside Medical Y Y required Dis; American Board of Center; Legacy Salmon Creek Internal Medicine (Criti- Medical Center cal Care Kaiser Permanente Sunny- American Board of Kenneth H side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y Bookstein, MD Permanente Westside Medical required Radiology) Center Physical May be Lisa M Brady, PT F Y None Y N Therapy required American Board of Kaiser Permanente Sunny- Obstetrics and Gy- Elizabeth R Brass, side Medical Center; Kaiser Not F Y Perinatology necology; American Y Y MD Permanente Westside Medical required Board of Obstetrics and Center Gynecology Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Clark J Brixey, MD M Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center Nathon R Brown, Cardiotho- American Board of Car- Kaiser Permanente Sunnyside May be M Y Y N CCP racic Surgery diovascular Perfusion Medical Center required

Page 154 19414_09-21 Nicole Brun- Physical May be F Y None Y N Cottan, PT Therapy required Speech May be Abigail A Cary, SP F Y None Y N Therapy required American Board of Brendan M Case, May be M Y Radiology Radiology (Diagnostic None Y Y MD required Radiology) Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Melinda A Pediatrics; American May be F Y Neonatology Permanente Westside Medical Y Y Caskey, MD Board of Pediatrics required Center; OHSU/Doernbecher (Neonatal-Perinatal) Childrens American Board of Kaiser Permanente Sunny- Radiology (Diagnostic Sanjay D side Medical Center; Kaiser May be M Y Radiology Radiology); American Y N Chakrapani, MD Permanente Westside Medical required Board of Radiology Center (Neuroradiology) Kaiser Permanente Sunny- American Board of Ching-Wen A side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y Chang, MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Josephine O Cho, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Physical May be Amy S Choate, PT F Y Not Applicable None Y Y Therapy required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Judy S Choe, MD F Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Psy- Michael E side Medical Center; Kaiser May be M Y Neurology chiatry and Neurology Y Y Christiansen, MD Permanente Westside Medical required (Neurol Center Kaiser Permanente Sunny- side Medical Center; Kaiser Obstet- Rory A Clawser, American Board of Ob- Permanente Westside Med- Not M Y rics and Y Y MD stetrics and Gynecology ical Center; Legacy Salmon required Gynecology Creek Medical Center; Salem Hospital

Page 155 19414_09-21 Kaiser Permanente Sunny- American Board of Teran W Colen, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Charles G Colip, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Jennifer R Conti, Physical May be F Y None Y N PT Therapy required American Board of In- ternal Medicine (Critical Kaiser Permanente Sunny- Care; American Board side Medical Center; Kaiser Ethan E Corcoran, May be M Y Pulmonology of Internal Medicine; Permanente Westside Medical Y Y MD, PhD required American Board of In- Center; Legacy Salmon Creek ternal Medicine (Pulmo- Medical Center nary Dis Lisa M Crandall, Speech May be F Y Not Applicable None Y Y SL P.D Therapy required Anthony K Physical May be M Y None Y N Crispino, PT Therapy required Angelein E Occupation- May be F Y None Y N Daniel, OT al Therapy required Galina E Danily, May be F Y Neurology None Y N ND required May be Jill A Davies, RD F Y Nutrition None Y N required Occupation- May be Amie E Davis, OT F Y Not Applicable None Y Y al Therapy required American Board of In- ternal Medicine (Critical Kaiser Permanente Sunny- Care; American Board side Medical Center; Kaiser Maxine E Dexter, May be F Y Pulmonology of Internal Medicine; Permanente Westside Medical Y Y MD required American Board of In- Center; Legacy Salmon Creek ternal Medicine (Pulmo- Medical Center nary Dis

Page 156 19414_09-21 American Board of Kaiser Permanente Sunny- Internal Medicine Karen C Dugan, side Medical Center; Kaiser May be F Y Pulmonology (Pulmonary Dis; Amer- Y Y MD Permanente Westside Medical required ican Board of Internal Center Medicine Kaiser Permanente Sunny- American Board of Brian L Dunkley, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Physical May be Gloria P Duran, PT F Y None Y N Therapy required Allison R Durkee, May be F Y Nutrition None Y N LD required Kaiser Permanente Sunny- Pediatric side Medical Center; Kaiser Rachel M Effros, American Board of May be F Y Newborn Permanente Westside Medical Spanish Y Y MD, MPH Pediatrics required Care Center; Legacy Salmon Creek Medical Center American Board of Ra- Kaiser Permanente Sunny- diology (Interventional side Medical Center; Kaiser May be Clay A Elrod, DO M Y Radiology and Di; American Board Y Y Permanente Westside Medical required of Radiology (Interven- Center tional and Di Physical May be Cynthia H Falk, PT F Y None Y N Therapy required American Board of Internal Medicine (Pul- Kaiser Permanente Sunny- monary Dis; American side Medical Center; Kaiser Joshua J Filner, May be M Y Pulmonology Board of Internal Med- Permanente Westside Medical Y Y MD, MPH required icine; American Board Center; Legacy Salmon Creek of Internal Medicine Medical Center (Critical Care American Board of In- Kaiser Permanente Sunny- ternal Medicine; Amer- Matthew J Flynn, side Medical Center; Kaiser May be M Y Pulmonology ican Board of Internal Y Y MD Permanente Westside Medical required Medicine (Pulmonary Center Dis Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Erik W Foss, MD M Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center

Page 157 19414_09-21 Kaiser Permanente Sunny- Mindy P French, American Nurses Cre- side Medical Center; Kaiser May be F Y Neurology Y Y ACNP-BC dentialing Center Permanente Westside Medical required Center AnnDee C Respiratory May be F Y None Y N Frostad, RRT Therapy required Nancy J Fulton, Speech May be F Y Not Applicable None Y Y CCC Therapy required Kaiser Permanente Sunny- American Board of Psy- Stephen T side Medical Center; Kaiser May be M Y Neurology chiatry and Neurology Y Y Gancher, MD Permanente Westside Medical required (Neurol Center Nicole L Speech May be F Y Not Applicable None Y Y Gaumont, MS Therapy required American Board of Kaiser Permanente Sunny- Katherine M Obstetrics and Gy- side Medical Center; Kaiser Not Gesteland, MD, F Y Perinatology necology; American Y Y Permanente Westside Medical required MPH Board of Obstetrics and Center Gynecology American Board of In- Kaiser Permanente Sunny- Gawain M Gilkey, ternal Medicine (Critical side Medical Center; Kaiser May be M Y Pulmonology Y Y MD Care; American Board Permanente Westside Medical required of Internal Medicine Center Allyson American Board of Speech May be Goodwyn-Craine, F Y Swallowing and Swal- None Y Y Therapy required SP lowing Disord Kaiser Permanente Sunny- side Medical Center; Kaiser Permanente Westside Medical Meveshni American Board of Not F N Pediatrics Center; Legacy Salmon Creek Y Y Govender, MD Pediatrics required Medical Center; Oregon Health & Science University; Salem Hospital Jessica L Grant, Speech May be F Y None Y Y SL P.D Therapy required Lucy Graves, May be F Y Geriatrics None Y N MSW required Susanne Physical May be F Y Not Applicable None Y Y Greengard, PT Therapy required

Page 158 19414_09-21 Kaiser Permanente Sunny- Karen M National Certification side Medical Center; Kaiser May be F Y Neonatology Y Y Guenther, NNP Corporation Permanente Westside Medical required Center Jonathan R Physical May be M Y Not Applicable None Y Y Gustavson, MSPT Therapy required Edgar A American Academy of May be M Y Pulmonology None Y Y Gutierrez, FNP Nurse Practitioners required Kaiser Permanente Sunny- American Board of Winthrop H Hall, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Emily M May be F Y Geriatrics None Y N Halvorson, LCSW required May be Jessie R Hann, MS F Y Nutrition None Y N required Kaiser Permanente Sunny- Monique National Certification side Medical Center; Kaiser May be F Y Neonatology Y Y Hapgood, NNP Corporation Permanente Westside Medical required Center Jaimie L Harper, May be F Y Geriatrics None Y N MSW required American Board of Kaiser Permanente Sunny- Obstetrics and Gy- Jason N Hashima, side Medical Center; Kaiser Not M Y Perinatology necology; American Y Y MD, MPH Permanente Westside Medical required Board of Obstetrics and Center Gynecology American Board of In- ternal Medicine (Critical Steven R Hays, May be M Y Pulmonology Care; American Board None Y N MD required of Internal Medicine (Pulmonary Dis Courtney A Physical May be F Y None Y N Heath, PT Therapy required American Board of Kaiser Permanente Sunny- Radiology (Neuroradiol- Jonathan A side Medical Center; Kaiser May be M Y Radiology ogy); American Board of Y Y Helwig, MD Permanente Westside Medical required Radiology (Diagnostic Center Radiology)

Page 159 19414_09-21 Kaiser Permanente Sunny- American Board of Belinda C side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y Holland, MD Permanente Westside Medical required Radiology) Center American Board of Dianna Y Howard, May be F Y Radiology Radiology (Diagnostic None Y Y MD required Radiology) Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Janice C Hsu, MD F Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Susan A Huang, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- Craig A Hutto, American Nurses Cre- side Medical Center; Kaiser May be M Y Neurology Y Y ACNP-BC dentialing Center Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Patrick R Inscore, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Hassan Irshad, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser American Board of Ob- Not Sara A Irwin, MD F Y rics and Permanente Westside Medical Y Y stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center Jessica S Speech May be F Y None Y N Jacobson, MS Therapy required Molly A Jennings, May be F Y Nutrition None Y N RD required Madelynne M Speech May be F Y None Y N Jensen, SLP.D Therapy required

Page 160 19414_09-21 American Board of Kaiser Permanente Sunny- Radiology (Neuroradiol- side Medical Center; Kaiser May be Austin D Jou, MD M Y Radiology ogy); American Board of Y Y Permanente Westside Medical required Radiology (Diagnostic Center Radiology) Occupation- May be Tyler Joy, OT M Y None Y N al Therapy required Laura M Kane, Speech May be F Y None Y N SL P.D Therapy required Eriberto Katigbak, Physical May be M Y None Y N PT Therapy required Melinda L Cardiotho- American Board of Car- Kaiser Permanente Sunnyside May be F Y Y N Kingery, CCP racic Surgery diovascular Perfusion Medical Center required Kaiser Permanente Sunny- General American Nurses Cre- side Medical Center; Kaiser May be Maria S Kling, NP F Y Y Y Surgery dentialing Center Permanente Westside Medical required Center American Board of In- Kaiser Permanente Sunny- Alexander Kogan, ternal Medicine (Critical side Medical Center; Kaiser May be M Y Pulmonology Y Y MD Care; American Board Permanente Westside Medical required of Emergency Medicine Center American Board of Kaiser Permanente Sunny- Radiology (Diagnostic side Medical Center; Kaiser May be Nii O Koney, MD M Y Radiology Radiology); Ameri- Y Y Permanente Westside Medical required can Board of Nuclear Center Medicine Ute Kongsbak, Speech May be F Y None Y N SL P.D Therapy required American Board of Kaiser Permanente Sunny- Psychiatry and Neurolo- Benjamin J Koo, side Medical Center; Kaiser May be M Y Neurology gy (Neurom; American Y N MD Permanente Westside Medical required Board of Psychiatry and Center Neurology (Neurol Kaiser Permanente Sunny- American Board of Ra- Zachariah Kramer, side Medical Center; Kaiser May be M Y Radiology diology (Interventional Y Y MD Permanente Westside Medical required and Di Center American Board of May be Alexei S Ku, MD M Y Radiology Radiology (Diagnostic None Y N required Radiology)

Page 161 19414_09-21 Kaiser Permanente Sunny- American Board of Kevin C La Cour, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Malia J Laport, Speech May be F Y None Y N MS Therapy required American Board of Kaiser Permanente Sunny- Radiology (Diagnostic Elizabeth S Lio, side Medical Center; Kaiser May be F Y Radiology Radiology); Ameri- Y Y MD Permanente Westside Medical required can Board of Nuclear Center Medicine Lakesha I Lord- Occupation- May be F Y None Y N Sunamoto, OT al Therapy required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Mina Lotfi, MD F Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Todd D Lovelace, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Elizabeth E Lygo, Physical May be F Y Not Applicable None Y Y PT Therapy required Kaiser Permanente Sunny- American Board of Cody MacMillan, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Martha L Maclin, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Taylor A Maiava- Speech May be F Y None Y N Hall, ST Therapy required American Board of Internal Medicine; Chloe B Sleep May be F Y American Board of None Y Y Manchester, DO Medicine required Internal Medicine (Sleep Medicin

Page 162 19414_09-21 American Board of Kaiser Permanente Sunny- Radiology (Diagnostic Peter A Marcovici, side Medical Center; Kaiser May be M Y Radiology Radiology); American Y Y MD Permanente Westside Medical required Board of Radiology (Pe- Center diatric Radiology) Lindsey C Mayo, Physical May be F Y None Y N PT Therapy required Kaiser Permanente Sunny- American Board of Benjamin D side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y McDowell, MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser Elizabeth American Board of Ob- Not F Y rics and Permanente Westside Medical Y Y Melendez, MD stetrics and Gynecology required Gynecology Center; Legacy Salmon Creek Medical Center Physical May be Astrid Melton, PT F Y Not Applicable None Y Y Therapy required Kaiser Permanente Sunny- American Board of Roderick S side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y Mercurio, MD Permanente Westside Medical required Radiology) Center Respiratory May be Mary E Merrill, RT F Y None Y N Therapy required American Board of In- ternal Medicine; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser Susan L May be F Y Pulmonology Medicine (Pulmonary Permanente Westside Medical Y Y Mikkelsen, MD required Dis; American Board of Center; Legacy Salmon Creek Internal Medicine (Criti- Medical Center cal Care Michaela F Miller, May be F Y Nutrition None Y N RD required Kaiser Permanente Sunny- American Board of Sharon R Mirarchi, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Physical May be Andrew Moon, PT M Y None Y N Therapy required

Page 163 19414_09-21 Keith E Moree, Speech May be M Y Not Applicable None Y N MS Therapy required American Board of May be Paul Moss, PA M Y Cardiology CP Certified Clinical None Y N required Perfusioni American Board of Internal Medicine Kaiser Permanente Sunny- (Hospice & Pal; Amer- side Medical Center; Kaiser Richard A ican Board of Internal May be M Y Pulmonology Permanente Westside Medical Y Y Mularski, MD Medicine (Critical Care; required Center; Legacy Salmon Creek American Board of In- Medical Center ternal Medicine (Pulmo- nary Dis American Board of Kaiser Permanente Sunny- Radiology (Diagnostic Maureen L side Medical Center; Kaiser May be F Y Radiology Radiology); Ameri- Y Y Mulcahy, MD Permanente Westside Medical required can Board of Nuclear Center Medicine Diana Muresan, Respiratory May be F Y None Y N RRT Therapy required Physical May be Brian Murphy, PT M Y None Y N Therapy required Dyann Murphy, Occupation- May be F Y None Y N OT al Therapy required Emma G Murray, Speech May be F Y None Y N SL P.D Therapy required Jennifer E Netzlof, May be F Y Nutrition None Y N RD required Honganh T Respiratory May be F Y None Y N Nguyen, RRT Therapy required Kaiser Permanente Sunny- Pediatric side Medical Center; Kaiser Kendra E Nguyen, American Board of May be F Y Newborn Permanente Westside Medical Y Y MD Pediatrics required Care Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of Hillary A side Medical Center; Kaiser Pediatrics; American May be Nicholson, MD, F Y Neonatology Permanente Westside Medical Y Y Board of Pediatrics required PhD Center; OHSU/Doernbecher (Neonatal-Perinatal) Childrens

Page 164 19414_09-21 Jennifer E Occupation- May be F Y None Y N Nystrom, OT al Therapy required Jane F May be O’Scannlain, F Y Geriatrics None Y N required MSW Kaiser Permanente Sunny- American Board of Christopher A side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y Obuchowski, MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- Tiffiney K Oleyte, General American Nurses Cre- side Medical Center; Kaiser May be F Y Y Y FNP Surgery dentialing Center Permanente Westside Medical required Center American Board of Pedi- Kaiser Permanente Sunny- Milette B atrics (Neonatal-Perina- side Medical Center; Kaiser May be F Y Neonatology Y Y Oliveros, MD tal); American Board of Permanente Westside Medical required Pediatrics Center Toni L Palmateer, Respiratory May be F Y None Y N RRT Therapy required Kaiser Permanente Sunny- American Board of Dorothy M Pao, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Pavan R Parasu, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Physical May be Jayesh V Patel, BS M Y Not Applicable None Y Y Therapy required Kaiser Permanente Sunny- American Board of Pedi- side Medical Center; Kaiser Jessica H atrics (Neonatal-Perina- May be F Y Neonatology Permanente Westside Medical Y Y Piantino, MD tal); American Board of required Center; OHSU/Doernbecher Pediatrics Childrens Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Atanu Prasad, MD M Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center

Page 165 19414_09-21 American Board of Christopher W Pediatrics; American May be M Y Neonatology None Y Y Rabin, DO Board of Pediatrics required (Neonatal-Perinatal) American Board of Psychiatry and Neurol- May be Hami Ramani, DO M Y Neurology ogy (Vascul; American None Y Y required Board of Psychiatry and Neurology (Neurol Occupation- May be Jenelle Reid, OT F Y None Y N al Therapy required American Board of Pedi- Kirsten P Sleep atrics; American Board May be F Y None Y Y Reinecke, MD Medicine of Pediatrics (Sleep required Medicine) American Board of Kaiser Permanente Sunny- Internal Medicine (Pul- side Medical Center; Kaiser Jonathan A May be M Y Pulmonology monary Dis; American Permanente Westside Medical Y Y Rettmann, MD required Board of Internal Medi- Center; Legacy Salmon Creek cine (Critical Care Medical Center Fern J Reyes, May be F Y Nutrition None Y N MPH, RD required Sarah J Physical May be F Y None Y N Richardson, PT Therapy required Speech May be Amy N Riley, ST F Y None Y N Therapy required Kaiser Permanente Sunny- American Board of Michelle L side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y Rodgers, MD Permanente Westside Medical required Radiology) Center Jeannie M Occupation- May be F Y None Y N Rosenbalm, OT al Therapy required Jennifer J Rosoff, Physical May be F Y None Y N PT Therapy required Kaiser Permanente Sunny- American Osteopathic side Medical Center; Kaiser May be Cara L Rozell, DO F Y Neurology Board of Neurology and Y Y Permanente Westside Medical required Psychi Center Candace M Respiratory May be F Y None Y N Ruddy, RRT Therapy required

Page 166 19414_09-21 Kaiser Permanente Sunny- Jonathan C General American Board of side Medical Center; Kaiser May be M Y Y Y Samuel, MD, MPH Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Scott A Sandberg, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- Obstet- Camille M American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y Santarpio, DO stetrics and Gynecology Permanente Westside Medical required Gynecology Center; Salem Hospital Christine A Physical May be F Y None Y N Schoene, PT Therapy required Christine M Respiratory May be F Y None Y N Sciscione, RT Therapy required Kaiser Permanente Sunny- American Board of Joseph P Shen, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center American Board of Stephen Shen, May be M Y Radiology Radiology (Diagnostic None Y N MD required Radiology) American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- Arpan side Medical Center; Kaiser May be M Y Neurology ogy (Vascul; American Y Y Shrivastava, MD Permanente Westside Medical required Board of Psychiatry and Center Neurology (Neurol Occupation- May be Lisa Snisky, OT F Y None Y N al Therapy required Katherine M May be F Y Nutrition None Y N Snyder, RD required Kaiser Permanente Sunny- American Board of Daniel B side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y Sonshine, MD Permanente Westside Medical required Radiology) Center

Page 167 19414_09-21 American Board of Kaiser Permanente Sunny- Psychiatry and Neurolo- Michelle T Stacey, side Medical Center; Kaiser May be F Y Neurology gy (Neurom; American Y Y MD Permanente Westside Medical required Board of Psychiatry and Center Neurology (Neurol Cheryl L Stancell, Physical May be F Y None Y N PT Therapy required Kaiser Permanente Sunny- American Board of David J Stawski, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- Pediatric Rebecca K American Board of side Medical Center; Kaiser May be F Y Newborn Y Y Stepaniak, MD Pediatrics Permanente Westside Medical required Care Center Joseph M Respiratory May be M Y None Y N Stevens, RRT Therapy required Kaiser Permanente Sunny- American Board of Aijiro P Suzuki, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center American Board of In- Kaiser Permanente Sunny- ternal Medicine (Critical side Medical Center; Kaiser Amena T Syed, Sleep May be F Y Care; American Board Permanente Westside Medical Y Y MD Medicine required of Internal Medicine Center; Legacy Salmon Creek (Pulmonary Dis Medical Center Megan L May be F Y Nutrition None Y N Thatcher, RD required Kaiser Permanente Sunny- American Board of Ra- Kendra L Thoren, side Medical Center; Kaiser May be F Y Radiology diology (Interventional Y Y DO Permanente Westside Medical required and Di Center American Board of Kaiser Permanente Sunny- Internal Medicine (Pul- side Medical Center; Kaiser May be Fredy Toiber, MD M Y Pulmonology monary Dis; American Permanente Westside Medical Y Y required Board of Internal Medi- Center; Legacy Salmon Creek cine (Critical Care Medical Center

Page 168 19414_09-21 American Board of In- ternal Medicine; Amer- Kaiser Permanente Sunny- ican Board of Internal side Medical Center; Kaiser May be Jerry M Tran, MD M Y Pulmonology Medicine (Critical Care; Permanente Westside Medical Y Y required American Board of In- Center; Legacy Salmon Creek ternal Medicine (Pulmo- Medical Center nary Dis Kaiser Permanente Sunny- side Medical Center; Kaiser Pediatric American Board of Permanente Westside Medical May be My N Tran, MD F Y Newborn Y Y Pediatrics Center; Legacy Salmon Creek required Care Medical Center; OHSU/Doer- nbecher Childrens Cardiotho- American Board of Car- May be Sean R Trump, MS M Y None Y N racic Surgery diovascular Perfusion required Nathan F Ullrich, American Board of May be M Y Urology None Y Y MD Urology required Kaiser Permanente Sunny- American Board of Zsoka E Vajtai, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center American Board of In- ternal Medicine (Critical Kaiser Permanente Sunny- Care; American Board side Medical Center; Kaiser May be Holly E Vanni, MD F Y Pulmonology of Internal Medicine; Permanente Westside Medical Y Y required American Board of In- Center; Legacy Salmon Creek ternal Medicine (Pulmo- Medical Center nary Dis Kaiser Permanente Sunny- Obstet- Kimberly K Vesco, American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Kristine A Physical May be F Y None Y N Vincent, PT Therapy required Physical May be Julie K Volpel, PT F Y None Y N Therapy required Kaiser Permanente Sunny- American Academy of side Medical Center; Kaiser May be Lisa M Wall, DNP F Y Neurology Y Y Nurse Practitioners Permanente Westside Medical required Center

Page 169 19414_09-21 Wendi M Wallace, Occupation- May be F Y None Y N OT al Therapy required Kaiser Permanente Sunny- Brooke K Walter, American Board of Psy- side Medical Center; Kaiser May be F Y Neurology Y Y MD chiatry and Neurology Permanente Westside Medical required Center American Board of In- ternal Medicine (Critical Kaiser Permanente Sunny- Care; American Board side Medical Center; Kaiser May be Eric C Walter, MD M Y Pulmonology of Internal Medicine; Permanente Westside Medical Y Y required American Board of In- Center; Legacy Salmon Creek ternal Medicine (Pulmo- Medical Center nary Dis American Board of Internal Medicine Kaiser Permanente Sunny- (Pulmonary Dis; Amer- side Medical Center; Kaiser Noel R Wardwell May be M Y Pulmonology ican Board of Internal Permanente Westside Medical Y Y Jr, MD required Medicine (Critical Care; Center; Legacy Salmon Creek American Board of Medical Center Internal Medicine Kerrie E Warner, Speech May be F Y None Y N SP Therapy required Kaiser Permanente Sunny- side Medical Center; Kaiser Obstet- Emily H Watson, American Board of Ob- Permanente Westside Med- Not F Y rics and Y Y MD stetrics and Gynecology ical Center; Legacy Salmon required Gynecology Creek Medical Center; Salem Hospital Kaiser Permanente Sunny- Obstet- American Board of side Medical Center; Kaiser Not Ann B Welsh, DO F Y rics and ObGyn (Female Pelvic Y Y Permanente Westside Medical required Gynecology Medicine an Center Jacob M Wojdyla, Cardiotho- American Board of Car- May be M Y None Y N CCP racic Surgery diovascular Perfusion required American Board of Kaiser Permanente Sunny- Obstetrics and Gy- Solange M Wyatt, side Medical Center; Kaiser Not F Y Perinatology necology; American Y Y MD Permanente Westside Medical required Board of Obstetrics and Center Gynecology Sally J Youngsma, May be F Y Nutrition None Y N RD LD required

Page 170 19414_09-21 Maya D Zahm, Speech May be F Y Not Applicable None Y N SL P.D Therapy required Kaiser Permanente Sunny- American Board of Psy- Greg R Zarelli, side Medical Center; Kaiser May be M Y Neurology chiatry and Neurology Y Y MD Permanente Westside Medical required (Neurol Center Keely B Zodrow- Physical May be F Y None Y N Novak, DPT Therapy required Kaiser Permanente Sunny- side Medical Center; Kaiser Obstet- Jill M Zurawski, American Board of Ob- Permanente Westside Med- Not F Y rics and Y Y MD stetrics and Gynecology ical Center; Legacy Salmon required Gynecology Creek Medical Center; Salem Hospital Mars V de Ponte, Occupation- May be M Y None Y N OT al Therapy required

Sunnyside Medical Center 10180 SE Sunnyside Rd Clackamas, OR. 97015 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- Thomas W Mental side Medical Center; Kaiser Not M N Not Applicable Y N Aichele, LPC Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Jennifer S Mental side Medical Center; Kaiser Not F N Not Applicable Y N Bertapelle, LCSW Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Catharine H Mental side Medical Center; Kaiser Not F N Not Applicable Y N Church, LMFT Health Permanente Westside Medical required Center

Page 171 19414_09-21 Kaiser Permanente Sunny- Carrie A Conte, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LMFT Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Jennifer G Mental side Medical Center; Kaiser Not F N Not Applicable Y N Daugherty, LPC Health Permanente Westside Medical required Center Dylan B Dow, Mental Not M N None Y N LCSW Health required Kaiser Permanente Sunny- Stacey D Ho, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LCSW Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Jill J Johnson, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LCSW Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Megan M Kautz, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LMFT Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Deborah J Mental side Medical Center; Kaiser Not F N Not Applicable Y N Kelling, LCSW Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Shane P Long, Mental side Medical Center; Kaiser Not M N Not Applicable Y N LCSW Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Mariko A Ono, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LCSW Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Amy K Ponteri, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LPC Health Permanente Westside Medical required Center

Page 172 19414_09-21 Kaiser Permanente Sunny- Linda L Smieja, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LICSW Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Pauline E Truax, Mental side Medical Center; Kaiser Not F N Not Applicable Y N PhD Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Danielle S Verbus, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LCSW Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Mary H Wallace, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LCSW Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Karen R Waln, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LCSW Health Permanente Westside Medical required Center

Sunset Medical Office 19400 NW Evergreen Pkwy Hillsboro, OR. 97124 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Internal American Board of Not Shikha Arun, MD F N None Y Y Medicine Internal Medicine required Naseem K Bains, Internal American Board of Not F N None Y Y MD Medicine Internal Medicine required Rebecca M Baird, American Board of Not F Y Pediatrics OHSU/Doernbecher Childrens Y Y MD Pediatrics required Family American Board of Fam- Not Kathy K Bak, MD F Y None Y Y Medicine ily Medicine required Brittany S Bassitt, American Board of Not F Y Pediatrics None Y N MD Pediatrics required

Page 173 19414_09-21 Internal American Board of Not Neil F Blair, MD M N None Y Y Medicine Internal Medicine required Not Chau Bui, OD F Y Optometry Not Applicable None Y Y required Anong Y Burke, Family American Board of Fam- Not F N None Y Y MD Medicine ily Medicine required Teresa S Chen, Not F Y Optometry Not Applicable None Y Y OD required Catherine A Internal American Board of Not F N None Y Y Chester, MD Medicine Internal Medicine required Not Alise M Chin, OD F Y Optometry Not Applicable None Y N required Kaiser Permanente Sunny- Aisha N Chohan, Internal American Board of side Medical Center; Kaiser Not F Y Y Y MD Medicine Internal Medicine Permanente Westside Medical required Center American Board of Internal Medicine Masuma Internal Not F Y (Geriatric Med; Amer- None Y Y Chowdhury, MD Medicine required ican Board of Internal Medicine Brett C Corbett, Family American Board of Fam- Not M Y None Y Y MD Medicine ily Medicine required Kaiser Permanente Sunny- Derrick E Custino, Family American Board of Fam- side Medical Center; Kaiser Not M N Y Y MD Medicine ily Medicine Permanente Westside Medical required Center Craig I Fujiwara, Not M Y Optometry Not Applicable None Y Y OD required Karla L American Board of Not F N Pediatrics OHSU/Doernbecher Childrens Y Y Hennebold, MD Pediatrics required American Osteopathic Board of Family Physi- Tess E Ish- Family Not F Y cians; American Osteo- None Y Y Shalom, DO Medicine required pathic Board of Family Physicians Cara L Kawahara, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required

Page 174 19414_09-21 Kathryn M Kelly, American Board of Not F Y Pediatrics None Y Y MD Pediatrics required Not Paul G Krabill, OD M Y Optometry Not Applicable None Y Y required Natalie A Kulaga, Not F Y Optometry Not Applicable None Y N OD required Nicole J Laske, Not F Y Optometry Not Applicable None Y Y OD required Kaiser Permanente Sunny- Internal American Board of side Medical Center; Kaiser Not Lisa A Leavitt, MD F N Y Y Medicine Internal Medicine Permanente Westside Medical required Center Suzette S Not F Y Optometry Not Applicable None Y Y Leonard, OD required Donna L Linvog, American Board of Not F N Pediatrics None Y Y MD Pediatrics required Jill C Lobingier, Not F Y Optometry Not Applicable None Y Y OD required Cynthia A American Board of Not F N Pediatrics OHSU/Doernbecher Childrens Y Y McPhee, MD Pediatrics required Angela Z Minavi, Not F Y Optometry Not Applicable None Y Y OD required Robert R Nash, American Board of Not M Y Pediatrics OHSU/Doernbecher Childrens Y Y MD Pediatrics required Jannatul Nayeem, American Board of Not F Y Pediatrics None Y Y MD Pediatrics required Internal American Board of Not Anna P Peter, MD F N None Y Y Medicine Internal Medicine required Robert W American Board of Not M N Pediatrics None Y Y Peterson, MD Pediatrics required Lyle H Regimbald, Not M Y Optometry Not Applicable None Y Y OD required Julia A Rothgery, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required Sarah A American Board of Not F Y Pediatrics None Y Y Rozeboom, MD Pediatrics required

Page 175 19414_09-21 Kaiser Permanente Sunny- Leslie A Sanchez- Internal American Board of side Medical Center; Kaiser Not F Y Y Y Goettler, MD Medicine Internal Medicine Permanente Westside Medical required Center; Salem Hospital Diane S Not F Y Optometry Not Applicable None Y Y Santesson, OD required Joshua D Not M Y Optometry Not Applicable None Y Y Shinoda, OD required Family American Board of Fam- Not Risa R Siegel, DO F Y None Y Y Medicine ily Medicine required Family American Board of Fam- Not Fayza I Sohail, MD F N None Y Y Medicine ily Medicine required Patrick A Family American Board of Fam- Not M Y None Y Y Spensley, MD Medicine ily Medicine required Not Paul M Stasik, OD M Y Optometry Not Applicable None Y Y required Internal American Board of Not Jeffrey D Sy, MD M N None Y Y Medicine Internal Medicine required National Commission Jonathan R Family Not M N on Certification of Phys None Y Y Tardiff, PA-C Medicine required Assis Maggie E Wells, Family American Board of Fam- Not F Y None Y Y MD, MPP Medicine ily Medicine required Family American Board of Fam- Not Rosa Zareie, MD F Y None Farsi Y Y Medicine ily Medicine required Saskia van der Family American Board of Fam- Not F Y None Spanish Y Y Wal, MD Medicine ily Medicine required

Sunset Medical Office 19400 NW Evergreen Pkwy Hillsboro, OR. 97124 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Ashwini S Mental Not Baitmangalkar, F Y Not Applicable None Y N Health required LPC

Page 176 19414_09-21 Danielle B Mental Not F Y Not Applicable None Y N Buchanan, LCSW Health required Maureen I Mental Not F Y Not Applicable None Y N Hidalgo, LCSW Health required

Tanasbourne Medical/Dental Offices 19075 NW Tanasbourne Dr Hillsboro, OR. 97124 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Sarah J Breeze, Physical May be F Y None Y N SL P.D Therapy required Andre S Chavez, Physical May be M Y None Y N PT Therapy required Brian Coleman, Physical May be M Y None Y N PT Therapy required Speech May be Kyla N Dirks, SP F Y None Y N Therapy required Physical May be Maria S Flores, PT F Y Not Applicable None Y Y Therapy required Kaiser Permanente Sunny- side Medical Center; Kaiser American Board of May be Susan D Gass, MD F Y Dermatology Permanente Westside Medical Y Y Dermatology required Center; Legacy Salmon Creek Medical Center American Board of PTS Cynthia K Girres, Physical May be F Y Women’s Health Physi- None Y Y PT Therapy required cal Ther Physical May be Michael Hirata, PT M Y None Y N Therapy required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Eric H Kilber, MD M Y Dermatology Y Y Dermatology Permanente Westside Medical required Center Physical May be Brad Plant, DPT M Y Not Applicable None Y Y Therapy required

Page 177 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Antony M Ophthalmol- American Board of Permanente Westside Medical May be M Y Y Y Poothullil, MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- Kristin A Rarey, Ophthalmol- American Board of side Medical Center; Kaiser May be F Y Y Y MD ogy Ophthalmology Permanente Westside Medical required Center Kristen L Rohde, Physical May be F Y None Y N PT Therapy required Occupation- May be Tracy L Ruby, OT F Y Not Applicable None Y Y al Therapy required Nicole M Physical May be F Y None Y N Ruegsegger, DPT Therapy required Kaiser Permanente Sunny- Pamela M American Board of side Medical Center; Kaiser May be F Y Dermatology Y Y Scherer, MD Dermatology Permanente Westside Medical required Center Kaiser Permanente Sunny- Christa L Schmitt, American Board of side Medical Center; Kaiser May be F Y Dermatology Y Y MD Dermatology Permanente Westside Medical required Center Kaiser Permanente Sunny- side Medical Center; Kaiser American Board of May be Amit Sharma, MD M Y Dermatology Permanente Westside Medical Y Y Dermatology required Center; Legacy Salmon Creek Medical Center Robert W Silver, Physical May be M Y None Y N PT Therapy required Jennifer K Physical May be F Y Not Applicable None Y Y Swanlund, DPT Therapy required Kaiser Permanente Sunny- side Medical Center; Kaiser Ophthalmol- American Board of Permanente Westside Medical May be Danita Tom, MD F Y Y Y ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University

Page 178 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Juliann K Ophthalmol- American Board of Permanente Westside Medical May be F Y Y Y Williams, MD ogy Ophthalmology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University

Tanasbourne Medical/Dental Offices 19075 NW Tanasbourne Dr Hillsboro, OR. 97124 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- American Board of Psy- Bradford C Mental side Medical Center; Kaiser Not M Y chiatry and Neurology Y N Ashley, MD, MPH Health Permanente Westside Medical required (Psychi Center Kaiser Permanente Sunny- Abigail M Brown, Addiction side Medical Center; Kaiser Not F Y Not Applicable Y N CADC II Medicine Permanente Westside Medical required Center Danielle B Mental Not F Y Not Applicable None Y N Buchanan, LCSW Health required Michael D Burch, Addiction Kaiser Permanente Westside Not M Y Y N CADC II Medicine Medical Center required Daphne Q Burns, Addiction Not F Y Not Applicable None Y N LPC Medicine required American Board of Psy- William Y Chen, Mental Not M Y chiatry and Neurology None Y N MD Health required (Psychi American Board of Pedi- atrics; American Board Kaiser Permanente Sunny- Jacquelyn M Mental of Psychiatry and Neu- side Medical Center; Kaiser Not F Y Y N Collura, MD Health rology (Psychi; Ameri- Permanente Westside Medical required can Board of Psychiatry Center and Neurology (Child/

Page 179 19414_09-21 Pamela M Addiction Certified Alcohol Drug Not Commodore, F Y None Y N Medicine Counselor III required CADC III Kaiser Permanente Sunny- Shawn R Criswell, Mental side Medical Center; Kaiser Not F Y Not Applicable Y N LPC Health Permanente Westside Medical required Center Joanna M Mental Not F Y Not Applicable None Y N Deshmukh, LPC Health required Manya D Dobaj, Mental American Nurses Cre- Not F Y None Y N PMHNP Health dentialing Center required Melissa S Mental National Board for Cer- Not Fivecoat-Borger, F Y None Y N Health tified Counselors required LPC Kimberly A Fleck, Mental Not F Y Not Applicable None Y N LCSW Health required Matthew A Addiction Not M Y Not Applicable None Y N Folsom, LCSW Medicine required Tina L Hadley, Mental Not F Y Not Applicable None Y N LMFT Health required Anna R Hadley- Mental Not F Y Not Applicable None Y N Sprecher, LCSW Health required Brandon Mental Not M Y Not Applicable None Y N Hardaway, LCSW Health required Thuylan N Huynh, Mental National Board for Cer- Not F Y None Y N LPC Health tified Counselors required Addiction Counselor Eleanor M Addiction Not F Y Certification Board of None Y N Kelleher, LPC Medicine required Oregon Britania Latronica, Mental Not F Y Not Applicable None Y N PhD Health required Darling M Mental Not F Y Not Applicable None Y N Mendoza, LCSW Health required Adrienne B Addiction Not F Y Not Applicable None Y N Perkins, CADC I Medicine required Alyssa C Phariss, Mental Not F Y Not Applicable None Y N LPC Health required

Page 180 19414_09-21 Nina R Shapiro, Addiction Not F Y Not Applicable None Y N LCSW Medicine required Mental Not Gina Silva, LCSW F Y Not Applicable None Spanish Y N Health required Patricia B Mental Not F Y Not Applicable None Y N Sturgeon, LCSW Health required Sandy K Tadrous- Mental Not F Y Not Applicable None Y N Furnanz, PhD Health required American Board of Psy- Kaiser Permanente Sunny- Kristina L Mental chiatry and Neurology side Medical Center; Kaiser Not F Y Y N Thornton, MD Health (Psychi; American Board Permanente Westside Medical required of Internal Medicine Center Glenn A Mental Not M Y Not Applicable None Y N Tinghitella, LPC Health required Alison J Weaver, Mental Not F Y Not Applicable None Y N LPC Health required Mark A Yeung, Mental Not M Y None Y N LCSW Health required Kaiser Permanente Sunny- Michelle N Yi, Addiction side Medical Center; Kaiser Not F Y Not Applicable Y N CADC I Medicine Permanente Westside Medical required Center

Tanasbourne Regional Contact Center 3175 NE Aloclek Dr Hillsboro, OR. 97124 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Marlaina D Not F Y Optometry Not Applicable None Y Y Watkins, OD required

Page 181 19414_09-21 Tanasbourne Regional Contact Center 3175 NE Aloclek Dr Hillsboro, OR. 97124 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Lara K Abraham, Mental Not F Y Not Applicable None Y N LPC Health required Samantha A Mental Not F Y Not Applicable None Y N Berovic, LCSW Health required Lisa R Bevans, Mental Not F Y Not Applicable None Y N LPC Health required Kaiser Permanente Sunny- Jessica W Bosley, Mental side Medical Center; Kaiser Not F Y Not Applicable Y N LCSW Health Permanente Westside Medical required Center Stefanie A Brown, Mental Not F Y None Y N LCSW Health required National Board for Lindsay D Craft, Mental Certified Counselors; Not F Y None Y N LPC Health Certified Alcohol Drug required Counselor III Marlissa S Dix, Mental Not F Y Not Applicable None Y N LPC Health required Joseph G Mental Not M Y Not Applicable None Y N Gardiner, LCSW Health required Jamie L Krauss, Mental Not F Y Not Applicable None Y N LPC Health required Michelle E Long, Mental Not F Y Not Applicable None Y N LPC Health required Sarah J Long, Mental Not F Y Not Applicable None Y N LCSW Health required David M Marshall, Mental Not M Y Not Applicable None Y N LMFT Health required Mental Not Reji P Marto, PhD M Y Not Applicable None Y N Health required

Page 182 19414_09-21 Jonathan D May, Mental Not M Y Not Applicable None Y N LCSW Health required Amanda M Mental Not F Y Not Applicable None Y N McDonald, LCSW Health required Amber R Mental Not F Y Not Applicable None Y N McKinnie, LCSW Health required Greg A Mulkey, Mental Not M Y Not Applicable None Y N LPC Health required Kathleen A Mental Not F Y Not Applicable None Y N Murphy, LCSW Health required Carli Jo Nicholson Mental Not F Y Not Applicable None Y N Irons, LPC Health required Tiffani A O’Neill, Mental Not F Y Not Applicable None Y N LPC Health required Stephanie M Mental Not F Y Not Applicable None Y N Odobasic, LCSW Health required Mental Not Beth Owens, LPC F Y Not Applicable None Y N Health required Lyndsay K Parker- Mental Not F Y Not Applicable None Y N Szymczak, LMHC Health required Sarah C Petke, Mental Not F Y Not Applicable None Y N LPC Health required American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- Victoria C Porter, Mental side Medical Center; Kaiser Not F N ogy (Psychi; American Y N MD Health Permanente Westside Medical required Board of Psychiatry and Center Neurology (Child/ Shenandoah D Mental Not F Y Not Applicable None Y N Reynolds, LMFT Health required Kaiser Permanente Sunny- Jennifer R Mental side Medical Center; Kaiser Not F Y Not Applicable Y N Scarborough, LPC Health Permanente Westside Medical required Center Amy J Schulz, Mental Not F Y Not Applicable None Y N LMHC Health required Natalie A Seibel, Mental Not F Y Not Applicable None Y N LPC Health required

Page 183 19414_09-21 Erin L Spencer, Mental Not F Y Not Applicable None Y N LMFT Health required Nicole M Stroup, Mental Not F Y Not Applicable None Y N LPC Health required Stephen D Mental Not M Y Not Applicable None Y N Swearingen, LPC Health required Mental Not Amy L Tran, MA F Y Not Applicable None Y N Health required Jennifer B Mental Not F Y Not Applicable None Y N Troobnick, LPC Health required Timothy W Vice, Mental Not M Y Not Applicable None Y N LCSW Health required Kaiser Permanente Sunny- Paula R Wade, Mental side Medical Center; Kaiser Not F Y Not Applicable Y N LCSW Health Permanente Westside Medical required Center Jennifer White, Mental Not F Y Not Applicable None Y N LCSW Health required Kaiser Permanente Sunny- ViviAnne M Zirkle, Mental side Medical Center; Kaiser Not F Y Not Applicable Y N LPC Health Permanente Westside Medical required Center

Tualatin Medical Offices 19185 SW 90th Ave Tualatin, OR. 97062 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Kristyn E Anthony, Allergy and Allergy and Immunolo- May be F Y Permanente Westside Medical Y Y MD Immunology gy; American Board of required Center; Legacy Salmon Creek Pediatrics Medical Center Internal American Board of Not Tin Zar Aung, MD F Y None Y Y Medicine Internal Medicine required

Page 184 19414_09-21 Physical May be Lisa R Beck, MSPT F Y Not Applicable None Y Y Therapy required Amy N Callahan, American Board of Not F N Pediatrics None Y Y DO Pediatrics required National Commission Ryan W Cate, Family Not M Y on Certification of Phys None Y Y PA-C Medicine required Assis Kaiser Permanente Sunny- side Medical Center; Kaiser Allergy and American Board of Al- May be Mark T Chan, MD M Y Permanente Westside Medical Y Y Immunology lergy and Immunology required Center; Legacy Salmon Creek Medical Center Michelle A Chin, American Board of Not F Y Pediatrics None Y Y MD Pediatrics required Matthew I Family American Board of Fam- Not M Y None Y Y Cockett, MD Medicine ily Medicine required Mara O Colbert, Family American Board of Fam- Not F N None Y Y MD Medicine ily Medicine required Debra K Davis, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required Marcia P Diaz Family American Board of Fam- Not F N None Spanish Y Y Medina, MD Medicine ily Medicine required Emma S American Board of Not F Y Pediatrics None Y Y Germann, MD Pediatrics required Ulrike M Internal American Board of Not F N None Y Y Guempel, MD Medicine Internal Medicine required Lynn K Physical May be F Y Not Applicable None Y Y Hashimoto, PT Therapy required Navasuma American Board of Sleep May be Havaligi, MD, F Y Internal Medicine (Sleep None Y Y Medicine required MPH Medicin American Board of Not Dia Hazra, MD F Y Pediatrics None Y Y Pediatrics required American Board of Kaiser Permanente Sunny- Internal Medicine; side Medical Center; Kaiser Allergy and American Board of May be Julie C Hong, MD F Y Permanente Westside Medical Y Y Immunology Allergy and Immunolo- required Center; Legacy Salmon Creek gy; American Board of Medical Center Pediatrics

Page 185 19414_09-21 Mark W Isackson, Physical May be M Y Not Applicable None Y Y PT Therapy required Kimberly L Kisor, Internal American Board of Not F Y None Y Y MD Medicine Internal Medicine required Kathleen M Family American Board of Fam- Not F Y None Y Y Laughlin, MD Medicine ily Medicine required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Jake D Lenington, Allergy and Allergy and Immunolo- May be M Y Permanente Westside Medical Y Y MD Immunology gy; American Board of required Center; Legacy Salmon Creek Internal Medicine Medical Center Family American Board of Fam- Not Louis H Liu, MD M Y None Y Y Medicine ily Medicine required Ritu Manocha, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required Carmen Internal American Board of Not F Y None Y Y McCallum, MD Medicine Internal Medicine required Karen A McClish, Family American Nurses Cre- Not F Y None Y Y FNP Medicine dentialing Center required Tamarine J Physical May be F Y None Y N Nathan, PT Therapy required Donne Family American Board of Fam- Not F N None Y Y Nieuwoudt, MD Medicine ily Medicine required Molly A Prideaux, Speech May be F Y Not Applicable None Y Y SP Therapy required Tamir P Rogson, Family American Board of Fam- Not M N None Y Y MD Medicine ily Medicine required Kaiser Permanente Sunny- side Medical Center; Kaiser Allergy and American Board of Al- May be Justin S Treat, DO M Y Permanente Westside Medical Y N Immunology lergy and Immunology required Center; Legacy Salmon Creek Medical Center Marco Pocholo R Family American Board of Fam- Not M Y None Y Y Valencia, MD Medicine ily Medicine required Kim J Waarvick, Family American Board of Fam- Not M Y None Y Y MD Medicine ily Medicine required Keirstalyn Wade, Occupation- May be F Y None Y N OT al Therapy required

Page 186 19414_09-21 Hilary A Wells, American Board of Kaiser Permanente Sunnyside Not F Y Pediatrics Y Y MD Pediatrics Medical Center required Robert J Internal American Board of Not M Y None Y Y Wendland, MD Medicine Internal Medicine required Laurel M Westly, Family American Board of Fam- Not F Y None Y Y MD Medicine ily Medicine required Rachel F White, Physical May be F Y Not Applicable None Y Y DPT Therapy required Catherine E May be F Y Nutrition None Y N Willeford, RD required Sarah K Woodell, Physical May be F Y Not Applicable None Y Y MSPT Therapy required Xianghong Zhu, Family American Board of Fam- Not F N None Y Y MD Medicine ily Medicine required

Tualatin Medical Offices 19185 SW 90th Ave Tualatin, OR. 97062 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Emmylou Boyle, Mental Not F Y Not Applicable None Y N LCSW Health required Kaiser Permanente Sunny- Abigail M Brown, Addiction side Medical Center; Kaiser Not F Y Not Applicable Y N CADC II Medicine Permanente Westside Medical required Center Pamela M Addiction Certified Alcohol Drug Not Commodore, F Y None Y N Medicine Counselor III required CADC III Pauline P Tseng, Addiction Kaiser Permanente Westside Not F Y Not Applicable Y N LPC Medicine Medical Center required

Page 187 19414_09-21 West Salem Medical Offices 1160 Wallace Rd Salem, OR. 97304 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Jane-Frances A Family American Board of Fam- Not F Y None Y Y Akpamgbo, MD Medicine ily Medicine required Janice A Family American Board of Fam- Not F Y None Y Y Lindstrom, MD Medicine ily Medicine required American Board of Andrew J Pasetti, Family Obesity Medicine; Not M Y None Y Y DO Medicine American Board of Fam- required ily Medicine Christopher J Family American Board of Fam- Not M Y None Y Y Schmitt, MD Medicine ily Medicine required Heidi M Sheridan, May be F Y Audiology None Y N AUD required Bethany C Family American Board of Fam- Not F Y None Y Y Wohletz, MD Medicine ily Medicine required

West Salem Medical Offices 1160 Wallace Rd Salem, OR. 97304 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Mental Not Julia C Ray, PsyD F Y Not Applicable None Y N Health required

Page 188 19414_09-21 Westside Medical Center 2875 NE Stucki Ave Hillsboro, OR. 97124 800-813-2000

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Jennifer R Allen, Physical May be F Y Not Applicable None Y Y OT Therapy required American Board of Kaiser Permanente Sunny- Podiatric Surgery (Re- David R Arndt, side Medical Center; Kaiser May be M Y Podiatry construct R; American Y Y DPM Permanente Westside Medical required Board of Podiatric Sur- Center gery (Foot Surgery) Kaiser Permanente Sunny- General American Board of side Medical Center; Kaiser May be Fadi M Balla, MD M Y Y Y Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Obstet- American Osteopathic Amy A Barnes, side Medical Center; Kaiser Not F Y rics and Board of Obstetrics & Y Y DO Permanente Westside Medical required Gynecology Gynecol Center Jennifer P Beedy, Physical May be F Y None Y N OT Therapy required American Board of Internal Medicine (Pul- Kaiser Permanente Sunny- monary Dis; American Cody J Benthin, side Medical Center; Kaiser May be M Y Pulmonology Board of Internal Med- Y Y MD Permanente Westside Medical required icine; American Board Center; Salem Hospital of Internal Medicine (Critical Care Kaiser Permanente Sunny- Pediatric side Medical Center; Kaiser Erica E Benthin, American Board of May be F Y Newborn Permanente Westside Medical Y Y MD Pediatrics required Care Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of Christa B Blecher, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center

Page 189 19414_09-21 Kaiser Permanente Sunny- Eric E Bosworth, American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y MD thopaedic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Peggy A Bradley- American Nurses Cre- side Medical Center; Kaiser May be F Y Cardiology Y Y Pearson, ANP dentialing Center Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Obstetrics and Gy- Elizabeth R Brass, side Medical Center; Kaiser Not F Y Perinatology necology; American Y Y MD Permanente Westside Medical required Board of Obstetrics and Center Gynecology Kaiser Permanente Sunny- Obstet- American College of Susan A Brewer, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y Y CNM Permanente Westside Medical required Gynecology cation C Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Clark J Brixey, MD M Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- Lorena Brown, General American Nurses Cre- side Medical Center; Kaiser May be F Y Spanish Y Y FNP-BC Surgery dentialing Center Permanente Westside Medical required Center Jeffry L Browne, Respiratory May be M Y None Y N RRT Therapy required Traci A Carlson, Physical May be F Y None Y N OT Therapy required Respiratory May be Irving Casas, CRT M Y None Y N Therapy required American Board of Brendan M Case, May be M Y Radiology Radiology (Diagnostic None Y Y MD required Radiology) Kaiser Permanente Sunny- Lauren M Cass, Otolaryngol- American Board of side Medical Center; Kaiser May be F Y Y Y MD, MPH ogy Otolaryngology Permanente Westside Medical required Center

Page 190 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of Permanente Westside Medical May be Colin R Cave, MD M Y Y Y ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University American Board of Kaiser Permanente Sunny- Radiology (Diagnostic Sanjay D side Medical Center; Kaiser May be M Y Radiology Radiology); American Y N Chakrapani, MD Permanente Westside Medical required Board of Radiology Center (Neuroradiology) Kaiser Permanente Sunny- American Board of Ching-Wen A side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y Chang, MD Permanente Westside Medical required Radiology) Center Stephanie Chung, Physical May be F Y None Y N PT Therapy required Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Sean J Clark, MD M Y Urology Y Y Urology Permanente Westside Medical required Center; Salem Hospital Kaiser Permanente Sunny- National Commission Ian M Clemons, side Medical Center; Kaiser May be M Y Orthopedics on Certification of Phys Y Y PA Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- American Board of Charles G Colip, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Angela C Physical May be F Y None Y N Connelly, PT Therapy required Kaiser Permanente Sunny- Trisha M side Medical Center; Kaiser May be F Y Audiology Not Applicable Y Y Copeland, AUD Permanente Westside Medical required Center Kaiser Permanente Sunny- Stefani K Cozine, side Medical Center; Kaiser May be F Y Audiology Not Applicable Y Y MS Permanente Westside Medical required Center

Page 191 19414_09-21 Obstet- Sarah C National Certification Not F Y rics and None Y Y D’Ambrosio, NP Corporation required Gynecology Kaiser Permanente Sunny- Obstet- Stella M Dantas, American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center American Board of May be Ella J Doerge, MD F Y Urology None Y Y Urology required Lisa Dubitsky, Speech May be F Y None Y N SL P.D Therapy required American Board of Kaiser Permanente Sunny- Internal Medicine Karen C Dugan, side Medical Center; Kaiser May be F Y Pulmonology (Pulmonary Dis; Amer- Y Y MD Permanente Westside Medical required ican Board of Internal Center Medicine Kaiser Permanente Sunny- American Board of Brian L Dunkley, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- Obstet- American College of Janna M Ellings, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y Y CNM Permanente Westside Medical required Gynecology cation C Center American Board of Ra- Kaiser Permanente Sunny- diology (Interventional side Medical Center; Kaiser May be Clay A Elrod, DO M Y Radiology and Di; American Board Y Y Permanente Westside Medical required of Radiology (Interven- Center tional and Di National Commission Chad A May be M Y Orthopedics on Certification of Phys None Y Y Esterberg, PA-C required Assis American Board of Podi- Kaiser Permanente Sunny- atric Surgery (Foot Sur- side Medical Center; Kaiser May be Eric D Evans, DPM M Y Podiatry gery); American Board Y Y Permanente Westside Medical required of Podiatric Surgery Center (Reconstruct R

Page 192 19414_09-21 Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Ali R Faheeh, MD M Y Cardiology Internal Medicine Permanente Westside Medical Y Y required (Cardiovascula Center; Legacy Salmon Creek Medical Center Anna D Francois, May be F Y Nutrition None Y N RD required American Board of Kaiser Permanente Sunny- Katherine M Obstetrics and Gy- side Medical Center; Kaiser Not Gesteland, MD, F Y Perinatology necology; American Y Y Permanente Westside Medical required MPH Board of Obstetrics and Center Gynecology Kaiser Permanente Sunny- Wayne F Gilbert, General American Board of side Medical Center; Kaiser May be M Y Y Y MD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Oto- side Medical Center; Kaiser John C Goddard, Otolaryngol- laryngology; American Permanente Westside Medical May be M Y Y Y MD ogy Board of Otolaryngolo- Center; Legacy Salmon Creek required gy (Neurotology) Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- Seth L Goldsmith, American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y MD thopaedic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- Alexander J Plastic American Board of Plas- side Medical Center; Kaiser May be M Y Y Y Gougoutas, MD Surgery tic Surgery Permanente Westside Medical required Center Ellen M Physical May be F Y None Y N Greenfield, OT Therapy required Hank R Habegger, Physical May be M Y None Y N PT Therapy required Barbara J Harris, May be F Y Audiology Not Applicable None Y N MA required American Board of Kaiser Permanente Sunny- Obstetrics and Gy- Jason N Hashima, side Medical Center; Kaiser Not M Y Perinatology necology; American Y Y MD, MPH Permanente Westside Medical required Board of Obstetrics and Center Gynecology

Page 193 19414_09-21 May be Julia M Hassel, RD F Y Nutrition None Y N required Jennifer A Respiratory May be F Y None Y N Heikkila, RT Therapy required American Board of Kaiser Permanente Sunny- Radiology (Neuroradiol- Jonathan A side Medical Center; Kaiser May be M Y Radiology ogy); American Board of Y Y Helwig, MD Permanente Westside Medical required Radiology (Diagnostic Center Radiology) Kaiser Permanente Sunny- Obstet- American College of Elizabeth G side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y Y Herskovitz, CNM Permanente Westside Medical required Gynecology cation C Center American Board of In- Cami L Infectious ternal Medicine; Amer- May be F Y None Y Y Hilsendager, MD Disease ican Board of Internal required Medicine (Infectious Di Kaiser Permanente Sunny- Pediatric side Medical Center; Kaiser Andrea N Hinkley- American Board of May be F Y Newborn Permanente Westside Medical Y Y Hynes, MD Pediatrics required Care Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- National Commission Gregory A side Medical Center; Kaiser May be M Y Orthopedics on Certification of Phys Y Y Hochstein, PA-C Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- Duncan K Hodge, American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y MD thopaedic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Belinda C side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y Holland, MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- Obstet- American College of side Medical Center; Kaiser Not Sara E Holt, CNM F Y rics and Nurse Midwives Certifi- Y Y Permanente Westside Medical required Gynecology cation C Center American Board of Dianna Y Howard, May be F Y Radiology Radiology (Diagnostic None Y Y MD required Radiology)

Page 194 19414_09-21 Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Janice C Hsu, MD F Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Susan A Huang, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center American Board of Kaiser Permanente Sunny- Internal Medicine (Car- Timothy H side Medical Center; Kaiser May be M Y Cardiology diovascula; American Y Y Hudson, MD Permanente Westside Medical required Board of Internal Medi- Center cine (Interventiona Kaiser Permanente Sunny- side Medical Center; Kaiser American Board of Permanente Westside Med- May be Ronald D Im, MD M Y Urology Y Y Urology ical Center; Legacy Salmon required Creek Medical Center; Salem Hospital Kaiser Permanente Sunny- American Board of Patrick R Inscore, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- American Board of Hassan Irshad, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of May be Laura D Iuga, MD F Y Permanente Westside Medical Y Y ogy Otolaryngology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Obstet- side Medical Center; Kaiser Laura R Jenson, American Midwifery Not F Y rics and Permanente Westside Medi- Y Y CNM Certification Board required Gynecology cal Center; Oregon Health & Science University

Page 195 19414_09-21 Kaiser Permanente Sunny- side Medical Center; Kaiser Jeffrey E American Board of May be M Y Urology Permanente Westside Medical Y Y Johnson, MD Urology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of Susan E Johnson, Gastroenter- side Medical Center; Kaiser May be F Y Internal Medicine Y Y MD ology Permanente Westside Medical required (Gastroenterol Center American Board of Kaiser Permanente Sunny- Radiology (Neuroradiol- side Medical Center; Kaiser May be Austin D Jou, MD M Y Radiology ogy); American Board of Y Y Permanente Westside Medical required Radiology (Diagnostic Center Radiology) American Board of James R Joyner, Family Medicine; Amer- May be M Y Orthopedics None Y Y MD ican Board of Family required Medicine Kaiser Permanente Sunny- side Medical Center; Kaiser Edith A Kahrhoff, American Board of May be F Y Urology Permanente Westside Medical Y Y MD Urology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Internal Medicine (Adv Permanente Westside Med- May be Priya Kansal, MD F Y Cardiology Heart Fai; American Y Y ical Center; Legacy Salmon required Board of Internal Medi- Creek Medical Center; Salem cine (Cardiovascula Hospital Kaiser Permanente Sunny- American Board of Krishna S Kasturi, Gastroenter- side Medical Center; Kaiser May be M Y Internal Medicine Y Y MD ology Permanente Westside Medical required (Gastroenterol Center Kaiser Permanente Sunny- Obstet- American College of side Medical Center; Kaiser Elizabeth C Not F Y rics and Nurse Midwives Certifi- Permanente Westside Medi- Y Y Kavanaugh, CNM required Gynecology cation C cal Center; Oregon Health & Science University

Page 196 19414_09-21 Kaiser Permanente Sunny- National Commission Gastroenter- side Medical Center; Kaiser May be Cord R Keel, PA-C M Y on Certification of Phys Y Y ology Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- General American Nurses Cre- side Medical Center; Kaiser May be Maria S Kling, NP F Y Y Y Surgery dentialing Center Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Radiology (Diagnostic side Medical Center; Kaiser May be Nii O Koney, MD M Y Radiology Radiology); Ameri- Y Y Permanente Westside Medical required can Board of Nuclear Center Medicine Kaiser Permanente Sunny- American Board of Ra- Zachariah Kramer, side Medical Center; Kaiser May be M Y Radiology diology (Interventional Y Y MD Permanente Westside Medical required and Di Center Kaiser Permanente Sunny- Erik W Kroger, American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y MD thopaedic Surgery Permanente Westside Medical required Center American Board of May be Alexei S Ku, MD M Y Radiology Radiology (Diagnostic None Y N required Radiology) Kaiser Permanente Sunny- American Board of Kevin C La Cour, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center MariaLourdes A Physical May be F Y None Y N Lacson, PT Therapy required Kaiser Permanente Sunny- American Board of Psy- Daniel P Lavery side Medical Center; Kaiser May be M Y Neurology chiatry and Neurology Y Y Jr, MD Permanente Westside Medical required (Neurol Center Kaiser Permanente Sunny- General American Board of side Medical Center; Kaiser May be Chris C Lee, MD M Y Y Y Surgery Surgery Permanente Westside Medical required Center

Page 197 19414_09-21 Kaiser Permanente Sunny- American Board of In- side Medical Center; Kaiser Andrew J Leitz, Infectious ternal Medicine; Amer- May be M Y Permanente Westside Medical Y Y MD Disease ican Board of Internal required Center; Legacy Salmon Creek Medicine (Infectious Di Medical Center Allegra L Liedtke, Speech May be F Y None Y N MS Therapy required Kaiser Permanente Sunny- Obstet- American Board of Ob- side Medical Center; Kaiser Not Susie Lim, MD F Y rics and Y Y stetrics and Gynecology Permanente Westside Medical required Gynecology Center Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of May be David W Lin, MD M Y Permanente Westside Medical Y Y ogy Otolaryngology required Center; Legacy Salmon Creek Medical Center American Board of Kaiser Permanente Sunny- Radiology (Diagnostic Elizabeth S Lio, side Medical Center; Kaiser May be F Y Radiology Radiology); Ameri- Y Y MD Permanente Westside Medical required can Board of Nuclear Center Medicine Kaiser Permanente Sunny- side Medical Center; Kaiser Michael C Lipke, American Board of May be M Y Urology Permanente Westside Medical Y Y MD Urology required Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- American Board of Weitian Liu, MD, Gastroenter- side Medical Center; Kaiser May be M Y Internal Medicine Y Y PhD ology Permanente Westside Medical required (Gastroenterol Center Kaiser Permanente Sunny- side Medical Center; Kaiser Steven A Long, Otolaryngol- American Board of Permanente Westside Medical May be M Y Y Y MD ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- Christopher W General American Board of side Medical Center; Kaiser May be M Y Y Y Lucius, MD Surgery Surgery Permanente Westside Medical required Center

Page 198 19414_09-21 American Board of Kaiser Permanente Sunny- Waleed L General olon/Rectal Surgery; side Medical Center; Kaiser May be M Y Y Y Lutfiyya, MD Surgery American Board of Permanente Westside Medical required Surgery Center Kaiser Permanente Sunny- American Board of Cody MacMillan, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- National Commission Jamie M General side Medical Center; Kaiser May be F Y on Certification of Phys Y Y Mahoney, PA-C Surgery Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- National Commission Elizabeth A May, side Medical Center; Kaiser May be F Y Orthopedics on Certification of Phys Y Y PA-C Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- American Board of Benjamin D side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y McDowell, MD Permanente Westside Medical required Radiology) Center American Board of Kaiser Permanente Sunny- Margo A Internal Medicine side Medical Center; Kaiser Not McGehee-Kelly, F N Geriatrics (Hospice & Pal; Amer- Y Y Permanente Westside Medical required MD ican Board of Internal Center Medicine Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser Lori L McMullan, May be F Y Cardiology Internal Medicine Permanente Westside Medical Y Y MD, MPH required (Cardiovascula Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- Obstet- Petr Miksovsky, American Board of Ob- side Medical Center; Kaiser Not M Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Physical May be Jewel M Miller, PT F Y None Y N Therapy required Kaiser Permanente Sunny- Obstet- American College of Samantha J Miller, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y Y CNM Permanente Westside Medical required Gynecology cation C Center

Page 199 19414_09-21 Kaiser Permanente Sunny- American Board of Sharon R Mirarchi, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center American Board of In- Kaiser Permanente Sunny- Anuja Mittal- General ternal Medicine; Amer- side Medical Center; Kaiser May be F Y Y Y Henkle, MD, MPH Surgery ican Board of Internal Permanente Westside Medical required Medicine (Nephrology) Center Kaiser Permanente Sunny- Pediatric side Medical Center; Kaiser Molly K Molloy, American Board of May be F Y Newborn Permanente Westside Medical Y Y MD Pediatrics required Care Center; Legacy Salmon Creek Medical Center Kaiser Permanente Sunny- National Commission Sadie K Morse, side Medical Center; Kaiser May be F Y Orthopedics on Certification of Phys Y Y PA-C Permanente Westside Medical required Assis Center American Board of Kaiser Permanente Sunny- Radiology (Diagnostic Maureen L side Medical Center; Kaiser May be F Y Radiology Radiology); Ameri- Y Y Mulcahy, MD Permanente Westside Medical required can Board of Nuclear Center Medicine Kaiser Permanente Sunny- American Board of Rajasekhara R Gastroenter- side Medical Center; Kaiser May be M Y Internal Medicine Y Y Mummadi, MD ology Permanente Westside Medical required (Gastroenterol Center Kaiser Permanente Sunny- Obstet- Joseph D Murphy, American Board of Ob- side Medical Center; Kaiser Not M Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Kimberly May be F Y Audiology Not Applicable None Y Y Nakayama, AUD required American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser Hien M Nguyen, Infectious May be M Y (Infectious Di; Ameri- Permanente Westside Medical Y Y MD Disease required can Board of Internal Center; Legacy Salmon Creek Medicine Medical Center Kaiser Permanente Sunny- National Commission Steven E Nielson, General side Medical Center; Kaiser May be M Y on Certification of Phys Y Y PA Surgery Permanente Westside Medical required Assis Center

Page 200 19414_09-21 Obstet- Karen A Ogryzlo, American Board of Ob- Not F Y rics and None Y Y MD stetrics and Gynecology required Gynecology Kaiser Permanente Sunny- Tiffiney K Oleyte, General American Nurses Cre- side Medical Center; Kaiser May be F Y Y Y FNP Surgery dentialing Center Permanente Westside Medical required Center Kaiser Permanente Sunny- Obstet- Becky R American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y Overbeck, MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Kaiser Permanente Sunny- Obstet- Kevin S Overbeck, American Board of Ob- side Medical Center; Kaiser Not M Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Kaiser Permanente Sunny- American Board of Pavan R Parasu, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Obstet- Women’s Health Care Kendra C Parkin, Not F Y rics and Nurse Practitioner, None Y Y WHCNP required Gynecology Certfiied Kaiser Permanente Sunny- Obstet- Eva B Patil, MD, American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y MPH stetrics and Gynecology Permanente Westside Medical required Gynecology Center American Board of Podiatric Surgery (Re- Bennie L Patmon, May be M Y Podiatry construct R; American None Y Y DPM required Board of Podiatric Sur- gery (Foot Surgery) American Board of Podi- Kaiser Permanente Sunny- atric Surgery (Foot Sur- Cindy H Peng, side Medical Center; Kaiser May be F Y Podiatry gery); American Board Y Y DPM Permanente Westside Medical required of Podiatric Surgery Center (Reconstruct R Physical May be Mai P Pham, PT F Y None Y N Therapy required

Page 201 19414_09-21 Kaiser Permanente Sunny- National Commission Andrew K Phan, Otolaryngol- side Medical Center; Kaiser May be M Y on Certification of Phys Y Y PA-C ogy Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- National Commission Leland M Piccolo, Otolaryngol- side Medical Center; Kaiser May be M Y on Certification of Phys Y Y PA-C ogy Permanente Westside Medical required Assis Center Obstet- National Commission Not Laurel Pope, PA-C F Y rics and on Certification of Phys None Y Y required Gynecology Assis Marcia E Powell, Physical May be F Y None Y N PT Therapy required Kaiser Permanente Sunny- American Board of Jason J Powers, Gastroenter- side Medical Center; Kaiser May be M Y Internal Medicine Y Y MD ology Permanente Westside Medical required (Gastroenterol Center Kaiser Permanente Sunny- American Board of side Medical Center; Kaiser May be Atanu Prasad, MD M Y Radiology Radiology (Diagnostic Y Y Permanente Westside Medical required Radiology) Center Kristin E Pulliam, Respiratory May be F Y None Y N RRT Therapy required American Board of Psychiatry and Neurol- May be Hami Ramani, DO M Y Neurology ogy (Vascul; American None Y Y required Board of Psychiatry and Neurology (Neurol Kaiser Permanente Sunny- Obstet- Sandra M Reed, American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Kaiser Permanente Sunny- side Medical Center; Kaiser Stephen E American Board of Or- May be M Y Orthopedics Permanente Westside Medi- Y Y Renwick, MD thopaedic Surgery required cal Center; Oregon Health & Science University Obstet- Katherine R American Midwifery Not F Y rics and None Y N Robinson, CNM Certification Board required Gynecology

Page 202 19414_09-21 Kaiser Permanente Sunny- National Commission Diana A Ruiz, side Medical Center; Kaiser May be F Y Orthopedics on Certification of Phys Y Y PA-C Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- Leslie A Sanchez- Internal American Board of side Medical Center; Kaiser Not F Y Y Y Goettler, MD Medicine Internal Medicine Permanente Westside Medical required Center; Salem Hospital Kaiser Permanente Sunny- American Board of Scott A Sandberg, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Kaiser Permanente Sunny- side Medical Center; Kaiser Attilia M Sawyer, Otolaryngol- American Board of Permanente Westside Medical May be F Y Y Y MD ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Damien A Physical May be M Y None Y N Schlobohm, PT Therapy required Kaiser Permanente Sunny- Brenda J Schmidt, General American Board of side Medical Center; Kaiser May be F Y Y Y MD Surgery Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of In- side Medical Center; Kaiser Jennifer K ternal Medicine; Amer- May be F Y Nephrology Permanente Westside Medical Y Y Schneider, MD ican Board of Internal required Center; Legacy Salmon Creek Medicine (Nephrology) Medical Center Kaiser Permanente Sunny- National Commission Melissa R Scott, side Medical Center; Kaiser May be F Y Orthopedics on Certification of Phys Y Y PA Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- American Board of In- side Medical Center; Kaiser ternal Medicine (Critical Alistair J Scriven, Permanente Westside Med- May be M Y Pulmonology Care; American Board Y Y MD ical Center; Legacy Salmon required of Internal Medicine Creek Medical Center; Salem (Pulmonary Dis Hospital

Page 203 19414_09-21 American Board of Kaiser Permanente Sunny- Psychiatry and Neurol- side Medical Center; Kaiser May be Yanan Shang, MD F Y Neurology ogy (Neurol; American Y Y Permanente Westside Medical required Board of Psychiatry and Center Neurology (Epilep Kaiser Permanente Sunny- Gurpreet Singh, American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y MD thopaedic Surgery Permanente Westside Medical required Center Kaiser Permanente Sunny- American Board of Psy- Monica A side Medical Center; Kaiser May be F Y Neurology chiatry and Neurology Y Y Skordilis, MD Permanente Westside Medical required (Neurol Center Kaiser Permanente Sunny- American Board of Pediatric side Medical Center; Kaiser Jennifer E Pediatrics; American May be F Y Newborn Permanente Westside Medical Y Y Slickers, MD, MPH Board of Pediatrics required Care Center; Legacy Salmon Creek (Nephrology) Medical Center Kaiser Permanente Sunny- side Medical Center; Kaiser Otolaryngol- American Board of Permanente Westside Medical May be Dana S Smith, MD M Y Y Y ogy Otolaryngology Center; Legacy Salmon Creek required Medical Center; Oregon Health & Science University Kaiser Permanente Sunny- Obstet- Anna R Snyder, American Midwifery side Medical Center; Kaiser Not F Y rics and Y Y CNM Certification Board Permanente Westside Medical required Gynecology Center Kaiser Permanente Sunny- American Board of Daniel B side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y Sonshine, MD Permanente Westside Medical required Radiology) Center American Board of Podi- Jarod B Spencer, atric Medicine; Ameri- May be M Y Podiatry None Y Y DPM can Board of Foot and required Ankle Surgery Kaiser Permanente Sunny- American Board of In- side Medical Center; Kaiser Steven J Spindel, Infectious May be M Y ternal Medicine (Infec- Permanente Westside Medical Y Y MD Disease required tious Di Center; Legacy Salmon Creek Medical Center

Page 204 19414_09-21 American Board of Internal Medicine (Pul- monary Dis; American Praseeda R Sleep Board of Internal Med- May be F Y None Y Y Sridharan, MD Medicine icine (Sleep Medicin; required American Board of In- ternal Medicine (Critical Care Kaiser Permanente Sunny- Obstet- Ann M Stanek, American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Kaiser Permanente Sunny- Obstet- Kristen M American Board of Ob- side Medical Center; Kaiser Not F Y rics and Y Y Strength, MD stetrics and Gynecology Permanente Westside Medical required Gynecology Center Kaiser Permanente Sunny- American Board of Aijiro P Suzuki, side Medical Center; Kaiser May be M Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Amanda Physical May be F Y None Y N Tamanaha, PT Therapy required Leah S Thomas, Physical May be F Y None Y N PT Therapy required Kaiser Permanente Sunny- American Board of Ra- Kendra L Thoren, side Medical Center; Kaiser May be F Y Radiology diology (Interventional Y Y DO Permanente Westside Medical required and Di Center Kaiser Permanente Sunny- American Board of Nundhini Gastroenter- side Medical Center; Kaiser May be F Y Internal Medicine Y Y Thukkani, MD ology Permanente Westside Medical required (Gastroenterol Center American Board of Kaiser Permanente Sunny- Internal Medicine (Pul- side Medical Center; Kaiser May be Fredy Toiber, MD M Y Pulmonology monary Dis; American Permanente Westside Medical Y Y required Board of Internal Medi- Center; Legacy Salmon Creek cine (Critical Care Medical Center Elizabeth S American Board of Podi- May be F Y Podiatry None Y N Tronstein, DPM atric Medicine required

Page 205 19414_09-21 Kaiser Permanente Sunny- American Board of Zsoka E Vajtai, side Medical Center; Kaiser May be F Y Radiology Radiology (Diagnostic Y Y MD Permanente Westside Medical required Radiology) Center Angela J Physical May be F Y None Y N Vongsouvanh, OT Therapy required Kaiser Permanente Sunny- National Commission side Medical Center; Kaiser May be John A Voss, PA-C M Y Orthopedics on Certification of Phys Y Y Permanente Westside Medical required Assis Center Clarisa Walcott, Physical May be F Y None Y N OT Therapy required Laura L Waliczek, Physical May be F Y None Y N PT Therapy required Kaiser Permanente Sunny- American Academy of side Medical Center; Kaiser May be Lisa M Wall, DNP F Y Neurology Y Y Nurse Practitioners Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Internal Medicine side Medical Center; Kaiser May be Pei-Li Wang, MD F Y Nephrology (Nephrology); Ameri- Permanente Westside Medical Y N required can Board of Internal Center; Legacy Salmon Creek Medicine Medical Center Kaiser Permanente Sunny- Vivian L Wang, General American Board of side Medical Center; Kaiser May be F Y Y Y MD Surgery Surgery Permanente Westside Medical required Center Michaela E May be F Y Nutrition None Y N Whistler, RD LD required Physical May be Kathy S Wijaya, PT F Y None Y N Therapy required Kaiser Permanente Sunny- Obstet- American College of Stacey L Wilson, side Medical Center; Kaiser Not F Y rics and Nurse Midwives Certifi- Y Y CNM Permanente Westside Medical required Gynecology cation C Center Kaiser Permanente Sunny- National Commission Kristine J side Medical Center; Kaiser May be F Y Urology on Certification of Phys Y Y Windom, PA-C Permanente Westside Medical required Assis Center

Page 206 19414_09-21 Kaiser Permanente Sunny- Benjamin A American Board of Or- side Medical Center; Kaiser May be M Y Orthopedics Y Y Winston, MD thopaedic Surgery Permanente Westside Medical required Center American Board of Kaiser Permanente Sunny- Obstetrics and Gy- Solange M Wyatt, side Medical Center; Kaiser Not F Y Perinatology necology; American Y Y MD Permanente Westside Medical required Board of Obstetrics and Center Gynecology Kaiser Permanente Sunny- National Commission Johnny M Yun, side Medical Center; Kaiser May be M Y Orthopedics on Certification of Phys Y Y PA-C Permanente Westside Medical required Assis Center Kaiser Permanente Sunny- American Board of In- side Medical Center; Kaiser Sarah A Zapata, ternal Medicine; Amer- May be F Y Nephrology Permanente Westside Medical Y N MD ican Board of Internal required Center; Legacy Salmon Creek Medicine (Nephrology) Medical Center Kaiser Permanente Sunny- American Board of Psy- Greg R Zarelli, side Medical Center; Kaiser May be M Y Neurology chiatry and Neurology Y Y MD Permanente Westside Medical required (Neurol Center

Westside Medical Center 2875 NE Stucki Ave Hillsboro, OR. 97124 855-632-8280

Accepting Languages Provider Name New Referral other than Accepts Accepts Credential Gender Members Specialty Board Certification Hospital Affiliations Required English Medicare Medicaid Kaiser Permanente Sunny- Summer L Ashley, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LCSW Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Cindy D Beeks, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LPC Health Permanente Westside Medical required Center

Page 207 19414_09-21 Kaiser Permanente Sunny- Veronica Mental side Medical Center; Kaiser Not Gallegos-Lozano, F N Not Applicable Y N Health Permanente Westside Medical required LCSW Center Kaiser Permanente Sunny- Dylan A Olson, Mental side Medical Center; Kaiser Not F N Not Applicable Y N LPC Health Permanente Westside Medical required Center Kaiser Permanente Sunny- Hannelie Mental side Medical Center; Kaiser Not F N Not Applicable Y N Vermeulen, LPC Health Permanente Westside Medical required Center

Page 208 19414_09-21 NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of the Northwest (Kaiser Health Plan) complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also:

• Provide no cost aids and services to people with disabilities to communicate effectively with us, such as: • Qualified sign language interpreters • Written information in other formats, such as large print, audio, and accessible electronic formats

• Provide no cost language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages

If you need these services, call 1-800-813-2000 (TTY: 711)

If you believe that Kaiser Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by mail or phone at: Member Relations, Attention: Kaiser Civil Rights Coordinator, 500 NE Multnomah St. Ste 100, Portland, OR 97232, telephone number: 1-800-813-2000.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. ______HELP IN YOUR LANGUAGE العربية (Arabic) ملحوظة: إذا كنت تتحدث العربية، فإن خدمات ATTENTION: If you speak English, language assistance المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم services, free of charge, are available to you. 1-800-813-2000 Call 1-800-813-2000 (TTY: 711). .)711 :TTY( አማርኛ (Amharic) ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም 中文 (Chinese) 注意：如果您使用繁體中文，您可以免 እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር 費獲得語言援助服務。請致電 1-800-813-2000 ይደውሉ 1-800-813-2000 (TTY: 711). （TTY：711）。

60576526_ACA_1557_MarCom_NW_2017_Taglines_Landscape ਪੰਜਾਬੀ (Punjabi) ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਿੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ فارسی (Farsi) توجه: اگر به زبان فارسی گفتگو می کنيد، ਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ।ﹱਧਵ تسهيالت زبانی بصورت رايگان برای شما فراهم می باشد. TTY: 711) 'ਤੇ ਕਾਲ ਕਰੋ।) 2000-813-800-1 با TTY) 1-800-813-2000: 711) تماس بگيريد. Français (French) ATTENTION: Si vous parlez français, Română (Romanian) ATENȚIE: Dacă vorbiți limba des services d'aide linguistique vous sont proposés română, vă stau la dispoziție servicii de asistență gratuitement. Appelez le 1-800-813-2000 (TTY: 711). lingvistică, gratuit. Sunați la 1-800-813-2000 (TTY: 711). Deutsch (German) ACHTUNG: Wenn Sie Deutsch Pусский (Russian) ВНИМАНИЕ: если вы говорите sprechen, stehen Ihnen kostenlos sprachliche на русском языке, то вам доступны бесплатные Hilfsdienstleistungen zur Verfügung. услуги перевода. Звоните 1-800-813-2000 (TTY: 711). Rufnummer: 1-800-813-2000 (TTY: 711). Español (Spanish) ATENCIÓN: si habla español, tiene 日本語 (Japanese) 注意事項：日本語を話される場合、 a su disposición servicios gratuitos de asistencia 無料の言語支援をご利用いただけます。1-800-813-2000 lingüística. Llame al 1-800-813-2000 (TTY: 711). （TTY: 711）まで、お電話にてご連絡ください。 Tagalog (Tagalog) PAUNAWA: Kung nagsasalita ka ខ្មែរ (Khmer) ប្រយ័㿒ន៖ បរើសិនᾶ诒នកនិ架យ 徶羶ខ្មែរ, បស玶 ng Tagalog, maaari kang gumamit ng mga serbisyo ng ជំនួយខ្ននក徶羶 បោយមិនគិ㿒⏒ន ួល គឺ讶ច掶នសំ殶រ់រំបរ ើ tulong sa wika nang walang bayad. 诒នក។ ចូរ ទូរស័寒ទ 1-800-813-2000 (TTY: 711)។ Tumawag sa 1-800-813-2000 (TTY: 711). 한국어 (Korean) 주의: 한국어를 사용하시는 경우, 언어 ไทย (Thai) เรียน: ถ ้าคุณพูดภาษาไทย คุณสามารถใชบริการ้ 지원 서비스를 무료로 이용하실 수 있습니다. ชวยเหลือทางภาษาได่ ้ฟรี โทร 1-800-813-2000 (TTY: 711). 1-800-813-2000 (TTY: 711) 번으로 전화해 주십시오. Українська (Ukrainian) УВАГА! Якщо ви розмовляєте ລາວ (Laotian) ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວ້ າພາສາ ລາວ, ການ українською мовою, ви можете звернутися до ບໍລິການຊ່ວຍເຫ ອດ້ານພາສາ, ໂດຍບໍ່ ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ безкоштовної служби мовної підтримки. Телефонуйте ທ່ານ. ໂທຣ 1-800-813-2000 (TTY: 711). за номером 1-800-813-2000 (TTY: 711). Naabeehó (Navajo) Díí baa akó nínízin: Díí saad bee Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’dé̖ é̖ ’, Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho t’áá jiik’eh, éí ná hóló̖ , koji̖ ’ hódíílnih 1-800-813-2000 bạn. Gọi số 1-800-813-2000 (TTY: 711). (TTY: 711). Afaan Oromoo (Oromo) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-813-2000 (TTY: 711).

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