Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1407861909
Practice Locations (2)
UNIVERSITY PROFESSIONAL SERVICES
15700 SW GREYSTONE CT
BEAVERTON, OR 970066011
5034943442
UNIVERSITY PROFESSIONAL SERVICES
15220 NW LAIDLAW RD
PORTLAND, OR 972297717
5034182000
Source: CMS National Downloadable File, September 2026.