Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1497749345
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
9135 SW BARNES RD
PORTLAND, OR 972256777
PROVIDENCE HEALTH AND SERVICES OREGON
9427 SW BARNES RD
PORTLAND, OR 972256652
Source: CMS National Downloadable File, September 2026.