Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1997
Offers telehealth
NPI: 1720146152
Practice Locations (1)
BROADWAY MEDICAL CLINIC LLP
4212 NE BROADWAY
PORTLAND, OR 972131422
5032498787
Source: CMS National Downloadable File, September 2026.