Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2018
Offers telehealth
NPI: 1558709089
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 155
PORTLAND, OR 972132956
5032156819
Source: CMS National Downloadable File, September 2026.