Graduated: 2023
NPI: 1396447488
Practice Locations (2)
UPTOWN PROVIDERS PC
14278 SW ALLEN BLVD
BEAVERTON, OR 970054405
5033056262
UPTOWN PROVIDERS PC
1071 SE TUALATIN VALLEY HWY
HILLSBORO, OR 971235069
5033056262
Source: CMS National Downloadable File, September 2026.