Medical school: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated: 2003
Offers telehealth
NPI: 1598884033
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 315
PORTLAND, OR 972132982
5032158580
Source: CMS National Downloadable File, September 2026.