Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1995
Also: INTERNAL MEDICINE
NPI: 1811914484
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
LEGACY CLINICS LLC
19300 SW 65TH AVE, MERIDIAN PARK HOSP
PORTLAND, OR 970627706
5036921212
Source: CMS National Downloadable File, September 2026.