Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1996
NPI: 1760463889
Practice Locations (1)
ADVANTAGE ORTHOPEDIC AND SPORTS MEDICINE CLINIC LLP
24076 SE STARK ST, SUITE 110
GRESHAM, OR 970303374
5036615388
Source: CMS National Downloadable File, September 2026.