Graduated: 2022
Offers telehealth
NPI: 1093440539
Practice Locations (3)
1110 SE ALDER ST, SUITE 301
Portland, OR 972142400
PORTLAND, OR 97239
5038438862
1110 SE ALDER ST, SUITE 301
PORTLAND, OR 972142400
Source: CMS National Downloadable File, September 2026.