Medical school: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated: 1986
Offers telehealth
NPI: 1184687428
Practice Locations (2)
16463 BOONES FERRY RD
LAKE OSWEGO, OR 970354376
5036356256
LEGACY MERIDIAN PARK HOSPITAL
19300 SW 65TH AVE
TUALATIN, OR 970627706
5034134330
Source: CMS National Downloadable File, September 2026.