Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1346216876
Practice Locations (2)
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
OREGON HEALTH AND SCIENCE UNIVERSITY
3930 SE DIVISION ST
PORTLAND, OR 972021643
5034183900
Source: CMS National Downloadable File, September 2026.