Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1770169518
Practice Locations (2)
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
8043 N LEAVITT AVE
PORTLAND, OR 972033722
Source: CMS National Downloadable File, September 2026.