Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2018
Offers telehealth
NPI: 1295224392
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES - OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
5032151111
PROVIDENCE HEALTH AND SERVICES OREGON
4920 N INTERSTATE AVE
PORTLAND, OR 972173653
5032153300
Source: CMS National Downloadable File, September 2026.