Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2011
NPI: 1124313911
Practice Locations (2)
PORTLAND COMMUNITY HEALTH CENTER
180 PARK AVE
PORTLAND, ME 041022957
2078742141
PORTLAND COMMUNITY HEALTH CENTER
295 PARK AVE
PORTLAND, ME 041022911
2078742141
Source: CMS National Downloadable File, September 2026.