Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2013
NPI: 1114358033
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
7305 SE CIRCUIT DR, SUITE 180
HILLSBORO, OR 971231963
9715014930
Source: CMS National Downloadable File, September 2026.