Graduated: 2013
NPI: 1285977470
Practice Locations (2)
NORTHWEST EXTREMITY SPECIALISTS LLC
12400 NW CORNELL RD, SUITE 201
PORTLAND, OR 972295689
5036431737
NORTHWEST EXTREMITY SPECIALISTS LLC
9115 SW OLESON RD, SUITE 205
PORTLAND, OR 972236877
5032452420
Source: CMS National Downloadable File, September 2026.