Graduated: 2020
NPI: 1568027829
Practice Locations (2)
ORTHOPEDIC AND SPORTS MEDICINE CENTER OF OREGON LLC
17355 LOWER BOONES FERRY RD, SUITE 100A
LAKE OSWEGO, OR 970352539
5032248399
ORTHOPEDIC AND SPORTS MEDICINE CENTER OF OREGON LLC
17355 LOWER BOONES FERRY RD, SUITE 100A
LAKE OSWEGO, OR 970355202
Source: CMS National Downloadable File, September 2026.