Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 2005
NPI: 1407811433
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
200 S HAZEL DELL WAY
CANBY, OR 970137829
2032639500
PROVIDENCE HEALTH AND SERVICES OREGON
10670 NE CORNELL RD
HILLSBORO, OR 971249221
Source: CMS National Downloadable File, September 2026.