Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2015
Also: MAXILLOFACIAL SURGERY
NPI: 1568605731
Practice Locations (1)
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
Source: CMS National Downloadable File, September 2026.