Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2017
Offers telehealth
NPI: 1083140115
Practice Locations (1)
LEGACY MERIDIAN PARK HOSPITAL
19875 SW 65TH AVE
TUALATIN, OR 970628353
5036927785
Source: CMS National Downloadable File, September 2026.