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Doctors / OR
PEDIATRIC MEDICINE
Medical school: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated: 2023
NPI: 1669060810
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
3178 SW 12TH AVE
PORTLAND, OR 972393147
Source: CMS National Downloadable File, September 2026.