Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2022
Offers telehealth
NPI: 1528533890
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 972662954
5032159850
Source: CMS National Downloadable File, September 2026.