Medical school: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated: 2017
Offers telehealth
NPI: 1144754292
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
9135 SW BARNES RD, SUITE 461
PORTLAND, OR 972256643
5032161150
Source: CMS National Downloadable File, September 2026.