Graduated: 2019
NPI: 1184286031
Practice Locations (3)
UPTOWN PROVIDERS PC
14278 SW ALLEN BLVD
BEAVERTON, OR 970054405
5033056262
UPTOWN PROVIDERS PC
180 NE 192ND AVE
VANCOUVER, WA 986847525
5033056262
UPTOWN PROVIDERS PC
180 NE 192ND AVE, SUITE 505
VANCOUVER, WA 986847525
5033056262
Source: CMS National Downloadable File, September 2026.