Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 2006
Also: INTERNAL MEDICINE
NPI: 1861669723
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
9205 SW BARNES RD, FL 1
PORTLAND, OR 972256603
5032162906
Source: CMS National Downloadable File, September 2026.