Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1407809544
Practice Locations (4)
1919 NW LOVEJOY ST
Portland, OR 972091503
1919 NW LOVEJOY ST
PORTLAND, OR 972091503
2850 NW 31ST AVE
PORTLAND, OR 972101720
2000 HEALTH PARK DR
BRENTWOOD, TN 370274692
Source: CMS National Downloadable File, September 2026.