Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2009
NPI: 1285862383
Practice Locations (1)
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
Source: CMS National Downloadable File, September 2026.