Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1997
Offers telehealth
NPI: 1861567729
Practice Locations (3)
PORTLAND CLINIC
15950 SW MILLIKAN WAY
BEAVERTON, OR 970035170
5036460161
PORTLAND CLINIC
800 SW 13TH AVE
PORTLAND, OR 972051902
50322101612110
PORTLAND CLINIC
9250 SW HALL BLVD
TIGARD, OR 972236721
5032930161
Source: CMS National Downloadable File, September 2026.