Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1093882789
Practice Locations (2)
PORTLAND CLINIC
800 SW 13TH AVE
PORTLAND, OR 972051902
50322101612110
PORTLAND CLINIC
9250 SW HALL BLVD
TIGARD, OR 972236721
5032930161
Source: CMS National Downloadable File, September 2026.