Medical school: UNIVERSITY OF NEVADA, LAS VEGAS SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1477255321
Practice Locations (2)
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
3750 S RIVER PKWY, APT 524
PORTLAND, OR 972394748
Source: CMS National Downloadable File, September 2026.