Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1649246182
Practice Locations (1)
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1200 NW 23RD AVE
PORTLAND, OR 972102906
5034137074
Source: CMS National Downloadable File, September 2026.