Graduated: 1997
NPI: 1528214293
Practice Locations (2)
TSL WELL LLC
13160 SE 172ND AVE
HAPPY VALLEY, OR 970869682
5036588484
HEALTHPRO HERITAGE REHAB AND FITNESS LLC
1540 NW 13TH AVE
PORTLAND, OR 972092371
9713140462
Source: CMS National Downloadable File, September 2026.