Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1326733270
Practice Locations (3)
PO BOX, SUITE 3395
Portland, OR 972083395
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
725 NW FLANDERS ST, SUITE 408
PORTLAND, OR 972093540
Source: CMS National Downloadable File, September 2026.