Graduated: 2011
NPI: 1336405042
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES OREGON
200 S HAZEL DELL WAY
CANBY, OR 970137829
2032639500
PROVIDENCE HEALTH AND SERVICES OREGON
7305 SE CIRCUIT DR, SUITE 140
HILLSBORO, OR 971231961
9715014905
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
PROVIDENCE HEALTH AND SERVICES OREGON
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 971409679
5032169600
Source: CMS National Downloadable File, September 2026.