Graduated: 2008
Offers telehealth
NPI: 1093985350
Practice Locations (3)
2845 SE 145TH AVE
Portland, OR 972362646
10706 SW CAPITOL HWY, APT 18
PORTLAND, OR 972196873
2845 SE 145TH AVE
PORTLAND, OR 972362646
5036162220
Source: CMS National Downloadable File, September 2026.