Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 2016
NPI: 1275987216
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
REDLANDS, CA 92373
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
REDLANDS, CA 92373
ASANTE PHYSICIAN PARTNERS
500 SW RAMSEY AVE
GRANTS PASS, OR 975275554
5414727000
Source: CMS National Downloadable File, September 2026.