Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1003822594
Practice Locations (2)
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
PEACEHEALTH
200 NE MOTHER JOSEPH PL, SUITE 320
VANCOUVER, WA 986643205
3605146300
Source: CMS National Downloadable File, September 2026.