Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1326145103
Practice Locations (2)
01411 SW RADCLIFFE RD
PORTLAND, OR 972197947
1400 SW 5TH AVE, SUITE 500
PORTLAND, OR 972015537
Source: CMS National Downloadable File, September 2026.