Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1998
NPI: 1174592190
Practice Locations (2)
THE VANCOUVER CLINIC INC PS
19250 SW 65TH AVE, SUITE 110
TUALATIN, OR 970627707
3608822778
THE VANCOUVER CLINIC INC PS
2525 NE 139TH ST
VANCOUVER, WA 986862719
3608822778
Source: CMS National Downloadable File, September 2026.