Graduated: 2002
NPI: 1679573265
Practice Locations (2)
UPTOWN PROVIDERS PC
11675 SW PACIFIC HWY
TIGARD, OR 972238672
5033056262
UPTOWN PROVIDERS PC
180 NE 192ND AVE, SUITE 505
VANCOUVER, WA 986847525
5033056262
Source: CMS National Downloadable File, September 2026.