Medical school: MAYO MEDICAL SCHOOL
Graduated: 1995
NPI: 1275428575
Practice Locations (2)
4475 SW SCHOLLS FERRY RD, SUITE 258
Portland, OR 972251958
4475 SW SCHOLLS FERRY RD, SUITE 258
PORTLAND, OR 972251958
5032925882
Source: CMS National Downloadable File, September 2026.