Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 2005
Offers telehealth
NPI: 1659570190
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
5330 NE GLISAN ST, SUITE 100
PORTLAND, OR 972133069
5032159700
Source: CMS National Downloadable File, September 2026.