Graduated: 2002
NPI: 1649570631
Practice Locations (4)
MULTNOMAH COUNTY
600 NE 8TH ST
GRESHAM, OR 970307317
5039887468
MULTNOMAH COUNTY
12425 NE GLISAN ST
PORTLAND, OR 972302144
5036800075
MULTNOMAH COUNTY
12710 SE DIVISION
PORTLAND, OR 972363134
5039883601
MULTNOMAH COUNTY
12710 SE DIVISION, MID COUNTY HEALTH CENTER
PORTLAND, OR 972363134
5039883601
Source: CMS National Downloadable File, September 2026.