Medical school: CITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduated: 2011
NPI: 1417221979
Practice Locations (1)
FANNO CREEK CLINIC LLC
2400 SW VERMONT ST
PORTLAND, OR 972191940
5034520915
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: CITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduated: 2011
NPI: 1417221979
FANNO CREEK CLINIC LLC
2400 SW VERMONT ST
PORTLAND, OR 972191940
5034520915
Source: CMS National Downloadable File, September 2026.