Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1164481230
Practice Locations (3)
10305 SW PARK WAY, SUITE 203
Portland, OR 972255033
10305 SW PARK WAY, SUITE 203
PORTLAND, OR 972255033
5032238333
833 SW 11TH AVE, SUITE 833
PORTLAND, OR 972052122
5032238333
Source: CMS National Downloadable File, September 2026.