Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1366472623
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES OREGON
10150 SE 32ND AVE
MILWAUKIE, OR 972226516
5035133613
PROVIDENCE HEALTH AND SERVICES OREGON
10330 SE 32ND AVE
MILWAUKIE, OR 972226594
PROVIDENCE HEALTH AND SERVICES OREGON
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 972662954
5032159850
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 972132981
5032156480
Source: CMS National Downloadable File, September 2026.