Graduated: 2020
Also: HOSPITALIST
NPI: 1265056626
Practice Locations (3)
NORTHWEST RENAL CLINIC INC
1130 NW 22ND AVE, SUITE 640
PORTLAND, OR 972102993
5032297976
PROVIDENCE HEALTH AND SERVICES OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 972132981
5032156480
Source: CMS National Downloadable File, September 2026.