Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1538270541
Practice Locations (3)
1115 SE 164TH AVE, DEPT 358
VANCOUVER, WA 986838004
1115 SE 164TH AVE, DEPT 358
VANCOUVER, WA 986839625
1115 SE 164TH AVE DEPT
VANCOUVER, WA 986839625
Source: CMS National Downloadable File, September 2026.