Graduated: 2022
NPI: 1851010839
Practice Locations (2)
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
1225 NE 2ND AVE
PORTLAND, OR 972322003
5039448000
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
Source: CMS National Downloadable File, September 2026.