Graduated: 2007
NPI: 1235327883
Practice Locations (2)
COLUMBIA MEDICAL CLINIC PC
8122 SE TIBBETTS ST
PORTLAND, OR 972061768
5037775995
PEACEHEALTH NETWORKS ON DEMAND LLC
7451 SW BRIDGEPORT RD
TIGARD, OR 972247207
8646643984
Source: CMS National Downloadable File, September 2026.