Medical school: PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated: 2020
NPI: 1033746102
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
9135 SW BARNES RD, SUITE 761
PORTLAND, OR 972256777
5032162602
Source: CMS National Downloadable File, September 2026.