Graduated: 2021
NPI: 1366123770
Practice Locations (3)
3502 NE BROADWAY ST
Portland, OR 972321821
3502 NE BROADWAY ST
PORTLAND, OR 972321821
5200 S MACADAM AVE, SUITE 200
PORTLAND, OR 972393800
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 2021
NPI: 1366123770
3502 NE BROADWAY ST
Portland, OR 972321821
3502 NE BROADWAY ST
PORTLAND, OR 972321821
5200 S MACADAM AVE, SUITE 200
PORTLAND, OR 972393800
Source: CMS National Downloadable File, September 2026.