Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1710921739
Practice Locations (2)
UNIVERSITY PROFESSIONAL SERVICES
15700 SW GREYSTONE CT
BEAVERTON, OR 970066011
5034943442
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
Source: CMS National Downloadable File, September 2026.