Graduated: 2002
Also: HEMATOLOGY
Offers telehealth
NPI: 1841460193
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES - OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
5032151111
PROVIDENCE HEALTH AND SERVICES OREGON
9155 SW BARNES RD, SUITE 238
PORTLAND, OR 972256629
5032160246
Source: CMS National Downloadable File, September 2026.