Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1396205217
Practice Locations (2)
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
6250 SE DIVISION ST, APT A
PORTLAND, OR 972061350
Source: CMS National Downloadable File, September 2026.