Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1396727400
Practice Locations (1)
FANNO CREEK CLINIC LLC
2400 SW VERMONT ST
PORTLAND, OR 972191940
5034520915
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1396727400
FANNO CREEK CLINIC LLC
2400 SW VERMONT ST
PORTLAND, OR 972191940
5034520915
Source: CMS National Downloadable File, September 2026.