Graduated: 2013
NPI: 1396087052
Practice Locations (2)
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
1225 NE 2ND AVE
PORTLAND, OR 972322003
5039448000
MONTGOMERY COUNTY MH-MR EMERGENCY SERVICE
50 BEECH DR
NORRISTOWN, PA 194035421
6102796100
Source: CMS National Downloadable File, September 2026.