Graduated: 2013
NPI: 1295172419
Practice Locations (2)
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
OREGON HEALTH AND SCIENCE UNIVERSITY
3930 SE DIVISION ST
PORTLAND, OR 972021643
5034183900
Source: CMS National Downloadable File, September 2026.