Graduated: 2001
Offers telehealth
NPI: 1346366523
Practice Locations (3)
5050 NE HOYT ST, SUITE 626
PORTLAND, OR 972132956
5032311426
PROVIDENCE HEALTH AND SERVICES OREGON
725 S WAHANNA RD
SEASIDE, OR 971387735
5037177000
PROVIDENCE HEALTH AND SERVICES OREGON
727 S WAHANNA RD
SEASIDE, OR 971387735
5037177000
Source: CMS National Downloadable File, September 2026.