Medical school: MAYO MEDICAL SCHOOL
Graduated: 2004
NPI: 1609062728
Practice Locations (3)
UNIVERSITY PROFESSIONAL SERVICES
15700 SW GREYSTONE CT
BEAVERTON, OR 970066011
5034943442
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
PEACEHEALTH
505 NE 87TH AVE
VANCOUVER, WA 986641965
Source: CMS National Downloadable File, September 2026.