Graduated: 2001
Also: GENERAL PRACTICE
NPI: 1639113590
Practice Locations (2)
14355 SW ALLEN BLVD, SUITE 130
BEAVERTON, OR 970054700
5033202121
UBH OF OREGON LLC
10300 SW EASTRIDGE ST
PORTLAND, OR 972255004
5039445000
Source: CMS National Downloadable File, September 2026.