Medical school: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1975
NPI: 1710089826
Practice Locations (2)
2250 NW FLANDERS ST, SUITE 306
PORTLAND, OR 972105411
5032260558
833 SW 11TH AVE, SUITE 420
PORTLAND, OR 972052118
5032220570
Source: CMS National Downloadable File, September 2026.