Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2022
Offers telehealth
NPI: 1417698614
Practice Locations (1)
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034132042
Source: CMS National Downloadable File, September 2026.