Graduated: 2018
NPI: 1497226716
Practice Locations (3)
BOULDER MEDICAL CENTER, PC
2750 BROADWAY ST
BOULDER, CO 803043573
3034403000
THE OREGON CLINIC, PC
1111 NE 99TH AVE
PORTLAND, OR 972209442
THE OREGON CLINIC, PC
5050 NE HOYT, SUITE 655
PORTLAND, OR 972132990
5032396673
Source: CMS National Downloadable File, September 2026.