Graduated: 2011
NPI: 1154686814
Practice Locations (2)
OREGON HEALTH AND SCIENCE UNIVERSITY
3930 SE DIVISION ST
PORTLAND, OR 972021643
5034183900
MULTNOMAH COUNTY
619 NW 6TH AVE
PORTLAND, OR 972093964
5039887468
Source: CMS National Downloadable File, September 2026.