Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1770291924
Practice Locations (2)
6400 SE LAKE RD, SUITE 325
MILWAUKIE, OR 972222185
3155 S MOODY AVE APT, SUITE 719
Portland, OR 972394735
Source: CMS National Downloadable File, September 2026.