Graduated: 2015
NPI: 1316914203
Practice Locations (2)
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
OREGON HEALTH AND SCIENCE UNIVERSITY
51377 SW OLD PORTLAND RD
SCAPPOOSE, OR 970564023
5034184222
Source: CMS National Downloadable File, September 2026.