Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
Also: SPORTS MEDICINE
NPI: 1558393876
Practice Locations (1)
EASTSIDE ORTHOPEDICS AND SPORTS MEDICINE LLC
6542 SE LAKE RD, SUITE 201
MILWAUKIE, OR 972222245
5036591964
Source: CMS National Downloadable File, September 2026.