Medical school: KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated: 2012
Offers telehealth
NPI: 1285996926
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
15640 NW LAIDLAW RD, SUITE 102
PORTLAND, OR 972293828
5037640100
Source: CMS National Downloadable File, September 2026.