Medical school: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated: 2023
NPI: 1497457097
Practice Locations (2)
1515 VILLAGE DR
COTTAGE GROVE, OR 974249767
1115 SE 164TH AVE DEPT, SUITE 358
Vancouver, WA 986838004
Source: CMS National Downloadable File, September 2026.