Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1003905217
Practice Locations (2)
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034138258
PROVIDENCE HEALTH AND SERVICES - OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
5032151111
Source: CMS National Downloadable File, September 2026.