Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2020
Offers telehealth
NPI: 1760991301
Practice Locations (2)
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1040 NW 22ND AVE, SUITE 320
PORTLAND, OR 972103823
5034136294
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1200 NW 23RD AVE
PORTLAND, OR 972102906
5034137074
Source: CMS National Downloadable File, September 2026.