Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2002
NPI: 1497934772
Practice Locations (2)
UNIVERSITY PROFESSIONAL SERVICES
15700 SW GREYSTONE CT
BEAVERTON, OR 970066011
5034943442
UNIVERSITY PROFESSIONAL SERVICES
3303 S BOND AVE
PORTLAND, OR 972394501
5034948311
Source: CMS National Downloadable File, September 2026.