Graduated: 2019
NPI: 1720645419
Practice Locations (3)
1419 SE OAK ST
PORTLAND, OR 972141429
2817 NE MLK JR BLVD, SUITE 2
PORTLAND, OR 97212
5036229724
PO BOX, SUITE 9
Tillamook, OR 971410009
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 2019
NPI: 1720645419
1419 SE OAK ST
PORTLAND, OR 972141429
2817 NE MLK JR BLVD, SUITE 2
PORTLAND, OR 97212
5036229724
PO BOX, SUITE 9
Tillamook, OR 971410009
Source: CMS National Downloadable File, September 2026.