Medical school: MEDICAL COLLEGE OF PENNSYLVANIA
Graduated: 1998
Offers telehealth
NPI: 1083653679
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
4805 NE GLISAN ST, SUITE 6N40
PORTLAND, OR 972132933
5032162111
PROVIDENCE HEALTH AND SERVICES - OREGON
9205 SW BARNES RD
PORTLAND, OR 972256603
5032162213
Source: CMS National Downloadable File, September 2026.