Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2021
NPI: 1831775220
Practice Locations (2)
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
620 SE 55TH AVE
PORTLAND, OR 972151818
Source: CMS National Downloadable File, September 2026.