Graduated: 2024
NPI: 1760281265
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
7305 SE CIRCUIT DR, SUITE 140
HILLSBORO, OR 971231961
9715014905
THERAPYDIA INC
4140 N WILLIAMS AVE
PORTLAND, OR 972172948
9713471774
Source: CMS National Downloadable File, September 2026.