Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2005
Offers telehealth
NPI: 1194900084
Practice Locations (2)
COGNITIVE CARE MEDICAL GROUP LLC
12901 SE 97TH AVE, SUITE 105
CLACKAMAS, OR 970157902
5039124788
NORTHWEST IV LLC
6400 SE LAKE RD, SUITE 155
PORTLAND, OR 972222137
5034473285
Source: CMS National Downloadable File, September 2026.