Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1467474437
Practice Locations (2)
UPTOWN PROVIDERS PC
14278 SW ALLEN BLVD
BEAVERTON, OR 970054405
5033056262
UPTOWN PROVIDERS PC
180 NE 192ND AVE, SUITE 505
VANCOUVER, WA 986847525
5033056262
Source: CMS National Downloadable File, September 2026.