Graduated: 2013
Offers telehealth
NPI: 1366867293
Practice Locations (3)
1801 PHOENIX PL, APT 202
NILES, OH 444464658
2125 SE MAIN ST
PORTLAND, OR 972143839
14715 NE 20TH AVE
VANCOUVER, WA 986861453
5035154004
Source: CMS National Downloadable File, September 2026.