Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1508891805
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
7305 SE CIRCUIT DR, SUITE 260
HILLSBORO, OR 971231966
5033429928
Source: CMS National Downloadable File, September 2026.