Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2000
NPI: 1063439644
Practice Locations (2)
PORTLAND CLINIC
15950 SW MILLIKAN WAY
BEAVERTON, OR 970035170
5036460161
PORTLAND CLINIC
9250 SW HALL BLVD
TIGARD, OR 972236721
5032930161
Source: CMS National Downloadable File, September 2026.