Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1407738289
Practice Locations (3)
211 16TH AVE N
Nampa, ID 836874058
PO BOX, SUITE 9
NAMPA, ID 83653
PO BOX, SUITE 9
NAMPA, ID 836530009
Source: CMS National Downloadable File, September 2026.