Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2013
Offers telehealth
NPI: 1104168608
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
1510 DIVISION ST, SUITE 180
OREGON CITY, OR 970452551
5036559868
Source: CMS National Downloadable File, September 2026.