Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2016
Offers telehealth
NPI: 1447608781
Practice Locations (2)
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
1225 NE 2ND AVE
PORTLAND, OR 972322003
5039448000
UNIVERSITY PROFESSIONAL SERVICES
3303 S BOND AVE
PORTLAND, OR 972394501
5034948311
Source: CMS National Downloadable File, September 2026.