Medical school: OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1225730500
Practice Locations (2)
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
500 NE MULTNOMAH ST, SUITE 100
PORTLAND, OR 972322031
Source: CMS National Downloadable File, September 2026.