Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1104026285
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
9135 SW BARNES RD
PORTLAND, OR 972256777
PROVIDENCE HEALTH AND SERVICES OREGON
9427 SW BARNES RD
PORTLAND, OR 972256652
Source: CMS National Downloadable File, September 2026.