Graduated: 2017
NPI: 1851637383
Practice Locations (2)
MULTNOMAH COUNTY
12710 SE DIVISION, MID COUNTY HEALTH CENTER
PORTLAND, OR 972363134
5039883601
NEW NARRATIVE
8935 SW CTR ST
TIGARD, OR 972236307
5037263732
Source: CMS National Downloadable File, September 2026.