Graduated: 2003
NPI: 1457577983
Practice Locations (5)
PROVIDENCE HEALTH AND SERVICES OREGON
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 970156802
5032152110
PROVIDENCE HEALTH AND SERVICES OREGON
10150 SE 32ND AVE
MILWAUKIE, OR 972226516
5035133613
PROVIDENCE HEALTH AND SERVICES OREGON
10330 SE 32ND AVE, SUITE 305
MILWAUKIE, OR 972226596
5035131800
PROVIDENCE HEALTH AND SERVICES OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 454
PORTLAND, OR 972132984
5032156405
Source: CMS National Downloadable File, September 2026.