Graduated: 2004
Offers telehealth
NPI: 1144424300
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
12345 SW HORIZON BLVD, SUITE 57
BEAVERTON, OR 970079475
5032168820
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
Source: CMS National Downloadable File, September 2026.