Graduated: 1991
Also: GERIATRIC PSYCHIATRY
NPI: 1770656852
Practice Locations (3)
UBH OF OREGON LLC
10300 SW EASTRIDGE ST
PORTLAND, OR 972255004
5039445000
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
PROVIDENCE HEALTH AND SERVICES OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
Source: CMS National Downloadable File, September 2026.