Medical school: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated: 2001
Offers telehealth
NPI: 1629034152
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
10330 SE 32ND AVE, SUITE 226
MILWAUKIE, OR 972226699
5035138950
Source: CMS National Downloadable File, September 2026.