Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2021
NPI: 1255909495
Practice Locations (2)
1130 NW 22ND AVE, SUITE 640
Portland, OR 972102993
1130 NW 22ND AVE, SUITE 640
PORTLAND, OR 972102993
Source: CMS National Downloadable File, September 2026.