Graduated: 2015
NPI: 1760892848
Practice Locations (3)
PORTLAND CLINIC
5005 NE SANDY BLVD
PORTLAND, OR 972131941
5032336940
PORTLAND CLINIC
800 SW 13TH AVE
PORTLAND, OR 972051902
50322101612110
PORTLAND CLINIC
9250 SW HALL BLVD
TIGARD, OR 972236721
5032930161
Source: CMS National Downloadable File, September 2026.