Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2006
NPI: 1609040419
Practice Locations (1)
PDX ENT AND AUDIOLOGY MEDICAL GROUP PC
2222 NW LOVEJOY ST, SUITE 607
PORTLAND, OR 972105104
5032223638
Source: CMS National Downloadable File, September 2026.