Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1998
NPI: 1649386541
Practice Locations (2)
NORTHWEST EXTREMITY SPECIALISTS LLC
9115 SW OLESON RD, SUITE 205
PORTLAND, OR 972236877
5032452420
CLEAR CHOICE DERMATOLOGY
966 12TH ST SE, SUITE 130
SALEM, OR 973022860
5038376395
Source: CMS National Downloadable File, September 2026.