Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 2011
Offers telehealth
NPI: 1497044614
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
4805 NE GLISAN ST, SUITE 6N40
PORTLAND, OR 972132933
5032162111
Source: CMS National Downloadable File, September 2026.