Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1988
NPI: 1700872785
Practice Locations (2)
ROBERTS STREET CLINIC, P.C.
400 NE ROBERTS AVE
GRESHAM, OR 970307464
5036659144
PROVIDENCE HEALTH AND SERVICES OREGON
440 NW DIVISION ST
GRESHAM, OR 970305506
5032159500
Source: CMS National Downloadable File, September 2026.