Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 2016
Offers telehealth
NPI: 1841647559
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 970156802
5032152110
Source: CMS National Downloadable File, September 2026.