Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2020
NPI: 1851907091
Practice Locations (2)
500 NE MULTNOMAH ST, STE. 100 / FL. 11
Portland, OR 972322031
500 NE MULTNOMAH ST, STE. 100 / FL. 11
PORTLAND, OR 972322031
Source: CMS National Downloadable File, September 2026.