Graduated: 2019
NPI: 1407389406
Practice Locations (3)
CLACKAMAS DERMATOLOGY PC
12605 SE 97TH AVE
CLACKAMAS, OR 970159706
5036547546
CLACKAMAS DERMATOLOGY PC
545 SE OAK ST
HILLSBORO, OR 971234147
5036547546
CLACKAMAS DERMATOLOGY PC
545 SE OAK ST, SUITE B
HILLSBORO, OR 971234147
Source: CMS National Downloadable File, September 2026.