Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1528043205
Practice Locations (2)
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1040 NW 22ND AVE, SUITE 520
PORTLAND, OR 972103097
5034137557
LEGACY MERIDIAN PARK HOSPITAL
19260 SW 65TH AVE, SUITE 165
TUALATIN, OR 970625706
5034136550
Source: CMS National Downloadable File, September 2026.