Graduated: 2022
NPI: 1427729367
Practice Locations (3)
132 E BROADWAY, SUITE 218
EUGENE, OR 974013150
5038363118100
3930 N MONTANA AVE UNIT, SUITE 5
Portland, OR 972271285
5441 S MACADAM AVE, SUITE 4916
PORTLAND, OR 972396106
Source: CMS National Downloadable File, September 2026.