Medical school: SAN JUAN BAUTISTA SCHOOL OF MEDICINE
Graduated: 2017
Offers telehealth
NPI: 1609396365
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
4004 KRUSE WAY PL, SUITE 300
LAKE OSWEGO, OR 970352479
5032161500
Source: CMS National Downloadable File, September 2026.