Graduated: 2020
NPI: 1114533072
Practice Locations (2)
PORTLAND PLASTIC SURGERY GROUP, LLC
1200 NW NAITO PARKWAY, SUITE 310
PORTLAND, OR 972092829
PORTLAND PLASTIC SURGERY GROUP, LLC
1200 NW NAITO PKWY, SUITE 310
PORTLAND, OR 972092829
5032929200
Source: CMS National Downloadable File, September 2026.