Graduated: 2016
Offers telehealth
NPI: 1649727348
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 454
PORTLAND, OR 972132984
5032156405
PROVIDENCE HEALTH AND SERVICES OREGON
839 NE HOLLADAY ST
PORTLAND, OR 972323521
5032030700
Source: CMS National Downloadable File, September 2026.