Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2009
Offers telehealth
NPI: 1376779041
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
10330 SE 32ND AVE, SUITE 205
MILWAUKIE, OR 972226594
5035138950
Source: CMS National Downloadable File, September 2026.