Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1255049599
Practice Locations (2)
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
6827 NE 7TH AVE
PORTLAND, OR 972113515
Source: CMS National Downloadable File, September 2026.