Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2010
Offers telehealth
NPI: 1669791570
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
9205 SW BARNES RD
PORTLAND, OR 972256603
PROVIDENCE HEALTH AND SERVICES - OREGON
9205 SW BARNES RD, SUITE 20
PORTLAND, OR 972256603
5032162229
Source: CMS National Downloadable File, September 2026.