Graduated: 2022
NPI: 1255929907
Practice Locations (3)
1919 NW LOVEJOY ST, CREDENTIAL VERIFICATION SERVICES
Portland, OR 972091503
1919 NW LOVEJOY ST
PORTLAND, OR 972091503
2850 NW 31ST AVE
PORTLAND, OR 972101720
Source: CMS National Downloadable File, September 2026.