Graduated: 2020
NPI: 1093238909
Practice Locations (2)
ALAMEDA HEALTH SYSTEM
1411 E 31ST ST
OAKLAND, CA 946021018
5104374800
PROVIDENCE HEALTH AND SERVICES OREGON
1500 DIVISION ST, SUITE 220
OREGON CITY, OR 970451527
5035131900
Source: CMS National Downloadable File, September 2026.