Medical school: HARVARD MEDICAL SCHOOL
Graduated: 2000
NPI: 1265468615
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
PROVIDENCE HEALTH AND SERVICES OREGON
417 SW 117TH AVE
PORTLAND, OR 972255924
Source: CMS National Downloadable File, September 2026.