Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2012
Offers telehealth
NPI: 1467710095
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
16180 SE SUNNYSIDE RD, SUITE 102
HAPPY VALLEY, OR 970156302
5035824900
PROVIDENCE HEALTH AND SERVICES - OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
5032151111
Source: CMS National Downloadable File, September 2026.