Graduated: 2000
NPI: 1689632457
Practice Locations (3)
ORCHID OAKRIDGE CLINIC PC
535 NE 6TH AVE
ESTACADA, OR 970239312
5036308550
OUTSIDE IN
1132 SW 13TH AVE
PORTLAND, OR 972051703
5035353860
OUTSIDE IN
16144 E BURNSIDE ST
PORTLAND, OR 972333520
5035353860
Source: CMS National Downloadable File, September 2026.