Graduated: 2022
NPI: 1821732199
Practice Locations (6)
250 W 96TH ST, SUITE 520
Indianapolis, IN 462601317
250 W 96TH ST, SUITE 520
INDIANAPOLIS, IN 462601317
1919 NW LOVEJOY ST
Portland, OR 972091503
1919 NW LOVEJOY ST
PORTLAND, OR 972091503
2850 NW 31ST AVE
PORTLAND, OR 972101720
500 UNIVERSITY DR
HERSHEY, PA 170332390
Source: CMS National Downloadable File, September 2026.