Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 2022
NPI: 1073262648
Practice Locations (2)
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
308 S MONTGOMERY ST, APT 411
PORTLAND, OR 972015138
Source: CMS National Downloadable File, September 2026.