Medical school: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1760674592
Practice Locations (2)
9200 SE 91ST AVE, SUITE 100
PORTLAND, OR 970863756
3608968482
12306 SE MILL PLAIN BLVD, SUITE 100
VANCOUVER, WA 986846024
3608968482
Source: CMS National Downloadable File, September 2026.