Graduated: 2018
Offers telehealth
NPI: 1659840650
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
10330 SE 32ND AVE
MILWAUKIE, OR 972226594
PROVIDENCE HEALTH AND SERVICES OREGON
4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 972662954
5032159850
Source: CMS National Downloadable File, September 2026.