Graduated: 2013
NPI: 1700215225
Practice Locations (3)
UPTOWN PROVIDERS PC
14278 SW ALLEN BLVD
BEAVERTON, OR 970054405
5033056262
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1
461 G ST
FORKS, WA 983319025
3603743280
UPTOWN PROVIDERS PC
180 NE 192ND AVE, SUITE 505
VANCOUVER, WA 986847525
5033056262
Source: CMS National Downloadable File, September 2026.