Graduated: 2014
Offers telehealth
NPI: 1013454842
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
PROVIDENCE HEALTH AND SERVICES OREGON
5228 NE HOYT ST
PORTLAND, OR 972133055
Source: CMS National Downloadable File, September 2026.