Graduated: 2007
NPI: 1457519829
Practice Locations (3)
MULTNOMAH COUNTY
600 NE 8TH ST
GRESHAM, OR 970307317
5039887468
MULTNOMAH COUNTY
5329 NE MARTIN LUTHER KING BLVD, NORTHEAST HEALTH CENTER
PORTLAND, OR 972123237
5039885183
THE VANCOUVER CLINIC INC PS
2529 NE 139TH ST
VANCOUVER, WA 986862719
3608822778
Source: CMS National Downloadable File, September 2026.