Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1992
NPI: 1316909419
Practice Locations (3)
UNIVERSITY PROFESSIONAL SERVICES
15700 SW GREYSTONE CT
BEAVERTON, OR 970066011
5034943442
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
PEACEHEALTH
1615 DELAWARE ST
LONGVIEW, WA 986322367
3606364814
Source: CMS National Downloadable File, September 2026.