Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2014
NPI: 1376961193
Practice Locations (2)
OUTSIDE IN
1132 SW 13TH AVE
PORTLAND, OR 972051703
5035353860
OUTSIDE IN
16144 E BURNSIDE ST
PORTLAND, OR 972333520
5035353860
Source: CMS National Downloadable File, September 2026.