Medical school: MID WEST MEDICAL COLLEGE
Graduated: 2006
Offers telehealth
NPI: 1124207436
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES OREGON
10150 SE 32ND AVE
MILWAUKIE, OR 972226516
5035133613
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 972132981
5032156480
PROVIDENCE HEALTH AND SERVICES OREGON
9155 SW BARNES RD
PORTLAND, OR 972256630
Source: CMS National Downloadable File, September 2026.