Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 2014
Offers telehealth
NPI: 1114311222
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
10330 SE 32ND AVE
MILWAUKIE, OR 972226594
PROVIDENCE HEALTH AND SERVICES OREGON
15640 NW LAIDLAW RD, SUITE 102
PORTLAND, OR 972293828
5037640100
Source: CMS National Downloadable File, September 2026.