Graduated: 2012
NPI: 1659622819
Practice Locations (3)
THE OREGON CLINIC, PC
1111 NE 99TH AVE
PORTLAND, OR 972209442
THE OREGON CLINIC, PC
4805 NE GLISAN
PORTLAND, OR 972132933
THE OREGON CLINIC, PC
5050 NE HOYT, SUITE 655
PORTLAND, OR 972132990
5032396673
Source: CMS National Downloadable File, September 2026.