Graduated: 1998
NPI: 1295983617
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
PROVIDENCE HEALTH AND SERVICES OREGON
9427 SW BARNES RD
PORTLAND, OR 972256652
Source: CMS National Downloadable File, September 2026.