Graduated: 2020
NPI: 1629605944
Practice Locations (2)
MERCY CLINIC OKLAHOMA COMMUNITIES
4120 W MEMORIAL RD, SUITE 218
OKLAHOMA CITY, OK 731209320
4053022661
UNIVERSITY PROFESSIONAL SERVICES
3303 S BOND AVE
PORTLAND, OR 972394501
5034948311
Source: CMS National Downloadable File, September 2026.