Graduated: 2009
Offers telehealth
NPI: 1164672101
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 972132981
5032156480
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 611
PORTLAND, OR 972132990
5032158699
Source: CMS National Downloadable File, September 2026.