Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 2000
Offers telehealth
NPI: 1124093281
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
10330 SE 32ND AVE, SUITE 226
MILWAUKIE, OR 972226699
5035138950
Source: CMS National Downloadable File, September 2026.