Graduated: 2009
NPI: 1457680613
Practice Locations (2)
OREGON HEALTH AND SCIENCE UNIVERSITY
3930 SE DIVISION ST
PORTLAND, OR 972021643
5034183900
OREGON HEALTH AND SCIENCE UNIVERSITY
51377 SW OLD PORTLAND RD
SCAPPOOSE, OR 970564023
5034184222
Source: CMS National Downloadable File, September 2026.