Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1780327007
Practice Locations (2)
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
2014 SE 11TH AVE, APT 202
PORTLAND, OR 972145494
Source: CMS National Downloadable File, September 2026.