Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1396331856
Practice Locations (2)
364 SE 45TH AVE
PORTLAND, OR 972151016
4783 DRIFT CREEK RD SE
SUBLIMITY, OR 973859671
Source: CMS National Downloadable File, September 2026.