Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2014
NPI: 1477973386
Practice Locations (1)
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1130 NW 22ND AVE, SUITE 630
PORTLAND, OR 972102977
5034136160
Source: CMS National Downloadable File, September 2026.