Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1003805417
Practice Locations (1)
16865 BOONES FERRY RD, SUITE 101
LAKE OSWEGO, OR 970355281
5036996464
Source: CMS National Downloadable File, September 2026.
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Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1003805417
16865 BOONES FERRY RD, SUITE 101
LAKE OSWEGO, OR 970355281
5036996464
Source: CMS National Downloadable File, September 2026.