Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 2005
NPI: 1760681084
Practice Locations (3)
MULTNOMAH COUNTY
600 NE 8TH ST
GRESHAM, OR 970307317
5039887468
MULTNOMAH COUNTY
12425 NE GLISAN ST
PORTLAND, OR 972302144
5036800075
MULTNOMAH COUNTY
619 NW 6TH AVE
PORTLAND, OR 972093964
5039887468
Source: CMS National Downloadable File, September 2026.