Graduated: 2009
NPI: 1104251263
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES OREGON
200 S HAZEL DELL WAY
CANBY, OR 970137829
2032639500
PROVIDENCE HEALTH AND SERVICES OREGON
10670 NE CORNELL RD
HILLSBORO, OR 971249221
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 454
PORTLAND, OR 972132984
5032156405
PROVIDENCE HEALTH AND SERVICES OREGON
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 972230803
5032159900
Source: CMS National Downloadable File, September 2026.