Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2003
Offers telehealth
NPI: 1720029101
Practice Locations (1)
PORTLAND PRIMARY CARE, LLC
1720 NASHVILLE PIKE, SUITE 100
GALLATIN, TN 370663154
6152308601
Source: CMS National Downloadable File, September 2026.