Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1989
Offers telehealth
NPI: 1265463996
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 972132981
5032156480
PROVIDENCE HEALTH AND SERVICES OREGON
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 972230803
5032159900
Source: CMS National Downloadable File, September 2026.