Medical school: CHICAGO COLLEGE OF OSTEOPATHY
Graduated: 2021
NPI: 1548841984
Practice Locations (2)
895 ADAMS BLVD
BOULDER CITY, NV 890052235
7022930406
PROVIDENCE HEALTH AND SERVICES OREGON
18040 SW LOWER BOONES FERRY RD, SUITE 304
TIGARD, OR 972247259
5032160700
Source: CMS National Downloadable File, September 2026.