Medical school: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated: 2021
NPI: 1184206088
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
16180 SE SUNNYSIDE RD, SUITE 102
HAPPY VALLEY, OR 970156302
5035824900
Source: CMS National Downloadable File, September 2026.