Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2000
Offers telehealth
NPI: 1336108208
Practice Locations (2)
LEGACY MOUNT HOOD MEDICAL CENTER
24800 SE STARK ST
GRESHAM, OR 970303378
5036619150
LEGACY MOUNT HOOD MEDICAL CENTER
24988 SE STARK ST, SUITE 220
GRESHAM, OR 970308324
5036741580
Source: CMS National Downloadable File, September 2026.