Medical school: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated: 2022
Offers telehealth
NPI: 1851920631
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 100
PORTLAND, OR 972209437
5032159900
Source: CMS National Downloadable File, September 2026.