Graduated: 1979
NPI: 1104952415
Practice Locations (4)
UPTOWN PROVIDERS PC
14278 SW ALLEN BLVD
BEAVERTON, OR 970054405
5033056262
UPTOWN PROVIDERS PC
397 WARNER MILNE RD
OREGON CITY, OR 970454045
5033056262
UPTOWN PROVIDERS PC
11675 SW PACIFIC HWY
TIGARD, OR 972238672
5033056262
UPTOWN PROVIDERS PC
180 NE 192ND AVE, SUITE 505
VANCOUVER, WA 986847525
5033056262
Source: CMS National Downloadable File, September 2026.