Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2022
Offers telehealth
NPI: 1215241708
Practice Locations (1)
CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON
9615 GRAND RONDE RD
GRAND RONDE, OR 973479712
5038792007
Source: CMS National Downloadable File, September 2026.