Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2007
NPI: 1396949749
Practice Locations (1)
NATIVE AMERICAN REHABILITATION ASSOC INC
703 NE HANCOCK ST
PORTLAND, OR 972123955
5032309875
Source: CMS National Downloadable File, September 2026.