Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1699317065
Practice Locations (3)
PO BOX
PORTLAND, OR 97208
700 NE 87TH AVE
Vancouver, WA 986641913
700 NE 87TH AVE
VANCOUVER, WA 986641913
Source: CMS National Downloadable File, September 2026.