Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2023
NPI: 1053006114
Practice Locations (3)
PO BOX, SUITE 3395
Portland, OR 972083395
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
639 NE 81ST AVE
PORTLAND, OR 972136932
Source: CMS National Downloadable File, September 2026.