Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 2015
Offers telehealth
NPI: 1376924670
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
9135 SW BARNES RD, SUITE 461
PORTLAND, OR 972256643
5032161150
PROVIDENCE HEALTH AND SERVICES - OREGON
9205 SW BARNES RD
PORTLAND, OR 972256603
5032162213
Source: CMS National Downloadable File, September 2026.