Graduated: 2009
NPI: 1821295791
Practice Locations (4)
8196 SW HALL BLVD, SUITE 230
BEAVERTON, OR 970086401
5010 SE FOSTER RD
PORTLAND, OR 972860839
5010 SE FOSTER RD, PO BOX 86101
PORTLAND, OR 972860839
803 A GRAND BLVD
Vancouver, WA 986614823
Source: CMS National Downloadable File, September 2026.