Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1265485890
Practice Locations (2)
UNIVERSITY PROFESSIONAL SERVICES
2055 EXCHANGE ST, SUITE 230
ASTORIA, OR 971033419
5033383803
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
Source: CMS National Downloadable File, September 2026.