Graduated: 2004
Offers telehealth
NPI: 1053380154
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 972132981
5032156480
PROVIDENCE HEALTH AND SERVICES OREGON
5330 NE GLISAN ST
PORTLAND, OR 972133069
Source: CMS National Downloadable File, September 2026.