Graduated: 2020
NPI: 1619567575
Practice Locations (4)
1755 COBURG RD UNIT, SUITE 301
Eugene, OR 974014900
1755 COBURG RD, UNIT 301
EUGENE, OR 974014900
1919 NW LOVEJOY ST
Portland, OR 972091503
2850 NW 31ST AVE
PORTLAND, OR 972101720
Source: CMS National Downloadable File, September 2026.